NPIMap

Organization Active NPI

Preston Dermatology & Skin Surgery Center PA

  • Dermatology Physician
  • Cary, NC
National Provider Identifier
1508395468
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2014-00889 Issued in NC
Legal business name
PRESTON DERMATOLOGY & SKIN SURGERY CENTER PA
Practice address
1010 High House Rd Ste 202
Cary, NC 27513-3576
Phone
(919) 388-9103
Fax
(919) 234-0856
NPI assigned
Jun 5, 2017
Last updated
Oct 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Sheel Desai Solomon, MD
Title
Owner/Operator
Phone
(919) 388-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2014-00889 NC Primary

Addresses

Primary practice location

1010 High House Rd Ste 202
Cary, NC 27513-3576

Mailing address

1010 High House Rd Ste 202
Cary, NC 27513-3576
Phone (919) 263-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831002792 NC Part B Supplier - Clinic/Group Practice 0547533291 Receives reassigned benefits from 25 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

1010 High House Rd
Ste 202
Cary, NC 27513
Phone (919) 388-9103

1010 High House Rd
Ste 300
Cary, NC 27513
Phone (919) 388-9103

1108 Kentworth Dr
Holly Springs, NC 27540
Phone (919) 585-5085

5070 Kentworth Dr
Holly Springs, NC 27540

3150 Rogers Rd
Ste 218
Wake Forest, NC 27587
Phone (919) 263-5255

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1508395468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133576",
            "telephone_number": "919-263-5255",
            "fax_number": "919-435-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133576",
            "telephone_number": "919-388-9103",
            "fax_number": "919-234-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON DERMATOLOGY & SKIN SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SHEEL",
        "authorized_official_middle_name": "DESAI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "919-388-9103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2014-00889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.