Derm Bar MD Holdings LLC

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

Legal business name

DERM BAR MD HOLDINGS LLC

Practice address

318 Alhambra Cir
Coral Gables, FL 33134-5004

Phone

(305) 446-2121

Fax

(305) 856-4363

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Elena Kendall, MD

Title

Owner

Phone

(305) 984-0149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Maria Elena Kendall, MD

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1366420978
  Medicare reassignment NPD

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1487082079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345004",
            "telephone_number": "305-446-2121",
            "fax_number": "305-856-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345004",
            "telephone_number": "305-446-2121",
            "fax_number": "305-856-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM BAR MD HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-984-0149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Partners of Gables
• Dentaquest of Florida, Inc.
• Dentists of Coral Gables, PA
• Philip Joseph Depaola
• Nicole Elizabeth Derish, M.D.
• Dermatology Group of Florida PA
• Marissa Ann Deroy, RBT
• Delaney Desantis, MS, RD, LDN
• Rebecca Jordan Deschner
• Desigual Therapy Services Inc

• Clinical & Laboratory Dermatological Immunology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical & Laboratory Dermatological Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.