NPIMap

Organization Active NPI

Dermatology Associates Inc

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1528364304
Registry record updated Apr 23, 2015
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9074 Issued in OK
Legal business name
DERMATOLOGY ASSOCIATES INC
Practice address
3727 NW 63Rd St Ste 205
Oklahoma City, OK 73116-1923
Phone
(405) 608-4494
Fax
(405) 608-4504
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mrs. Betti R Estep
Title
Billing/Credentialing MGR
Phone
(405) 521-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9074 OK Primary

Addresses

Primary practice location

3727 NW 63Rd St Ste 205
Oklahoma City, OK 73116-1923

Mailing address

PO Box 268988
Oklahoma City, OK 73126-8988
Phone (405) 608-4494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1528364304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268988",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268988",
            "telephone_number": "405-608-4494",
            "fax_number": "405-608-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 NW 63RD ST STE 205",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161923",
            "telephone_number": "405-608-4494",
            "fax_number": "405-608-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "BETTI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MGR",
        "authorized_official_telephone_number": "405-521-1969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "9074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.