Perfect Skin Dermatology PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

PERFECT SKIN DERMATOLOGY PC

Practice address

1259 Lake Plaza Dr
Suite 270
Colorado Springs, CO 80906-3504

Phone

(719) 421-7132

NPI assigned

Nov 1, 2016

Last updated

Aug 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Schroeder, MDNPI 1366410920

Title

Owner/Physician

Phone

(719) 421-7132

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Schroeder, M.D.

  • Procedural Dermatology Physician
  • Colorado Springs, CO
  • NPI 1366410920
  Authorized official Same address or phone

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596240000000",
    "number": "1497207864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063504",
            "telephone_number": "719-421-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SKIN DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "719-421-7132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Perez
• Lisa Y Perez, LPC, NCC
• Luis Enrique Perez, RN-C
• Maura Perez
• Samantha Perez, LPC
• Perfect Skin PC
• Perfect Teeth - Cheyenne Meadows P.C.
• Perfect Teeth - Garden of the Gods P.C.
• Perfect Teeth - Powers P.C.
• Perfect Teeth - South 8TH Street P.C.

• Procedural Dermatology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Procedural Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.