Organization Active NPI

Dermio Dermatology, LLC

  • Non-Pharmacy Dispensing Site
  • Dyer, IN
National Provider Identifier
1518690296
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DERMIO DERMATOLOGY, LLC
Practice address
14785 W 101St Ave Ste 206
Dyer, IN 46311-3371
Phone
(219) 228-4200
NPI assigned
Jul 8, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Arman David SoleymaniNPI 1740203819
Title
Owner/Lead Physician
Phone
(219) 228-4200

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

14785 W 101St Ave Ste 206
Dyer, IN 46311-3371

Mailing address

9200 Calumet Ave Ste 203
Munster, IN 46321-2885

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2247527Dermio Dermatology, LLC14785 W 101St Ave Ste 2a, Dyer, IN 46311ComplianceJan 30, 2027

National Provider Directory

National Provider Directory

Locations

14785 W 101st Ave
Ste 206
Dyer, IN 46311
Phone (219) 228-4200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1518690296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 W 101ST AVE STE 206",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113371",
            "telephone_number": "219-228-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMIO DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/LEAD PHYSICIAN",
        "authorized_official_telephone_number": "219-228-4200"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.