Active NPI
Dermio Dermatology, LLC
- Non-Pharmacy Dispensing Site
- Dyer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arman David Soleymani
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2247527 | Dermio Dermatology, LLC | Compliance | Jan 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Munster, IN
- NPI 1740203819
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.