Organization Active NPI

Danville Dermatology Associates, Inc.

  • Dermatology Physician
  • Danville, VA
National Provider Identifier
1497733570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DANVILLE DERMATOLOGY ASSOCIATES, INC.
Practice address
990 Main St
Suite 202
Danville, VA 24541-1802
Phone
(434) 792-3818
Fax
(434) 792-8244
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Craig White, M.D.NPI 1255319349
Title
Corporate President
Phone
(434) 792-3818

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

990 Main St
Suite 202
Danville, VA 24541-1802

Mailing address

990 Main St
Suite 202
Danville, VA 24541-1802
Phone (434) 792-3818

National Provider Directory

National Provider Directory

Locations

990 Main St
Ste 202
Danville, VA 24541
Phone (434) 792-3818

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497733570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411802",
            "telephone_number": "434-792-3818",
            "fax_number": "434-792-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411802",
            "telephone_number": "434-792-3818",
            "fax_number": "434-792-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE DERMATOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "434-792-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.