NPIMap

Organization Active NPI

North Palm Dermatology, LLC

  • Specialist
  • Palm Beach Gardens, FL
National Provider Identifier
1487065116
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME117143 Issued in FL
Legal business name
NORTH PALM DERMATOLOGY, LLC
Practice address
11380 Prosperity Farms Rd
Suite 213, Building D
Palm Beach Gardens, FL 33410-3474
Phone
(561) 694-5800
Fax
(561) 694-5700
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather HouckNPI 1225027527
Title
President
Phone
(561) 694-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME117143 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd
Suite 213, Building D
Palm Beach Gardens, FL 33410-3474

Mailing address

11380 Prosperity Farms Rd
Suite 213, Building D
Palm Beach Gardens, FL 33410-3474
Phone (561) 694-5800

National Provider Directory

National Provider Directory

Locations

11380 Prosperity Farms Rd
Ste D213
Palm Beach Gardens, FL 33410
Phone (561) 694-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1487065116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 213, BUILDING D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-694-5800",
            "fax_number": "561-694-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 213, BUILDING D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-694-5800",
            "fax_number": "561-694-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PALM DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-694-5800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME117143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.