Skin Docs

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN DOCS

Doing business as

The Skin Docs
The Skin Docs, LLC
The Skin Docs, PLLC

Practice address

2860 E Desert Inn Rd
Las Vegas, NV 89121-3605

Phone

(702) 551-9487

Fax

(702) 924-0634

NPI assigned

Dec 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Bellew, DONPI 1417103094

Title

Dermatologist

Phone

(702) 349-9001

Specialties & licenses 1

Addresses

Other names 3

• The Skin Docs Doing business as
• The Skin Docs, LLC Doing business as
• The Skin Docs, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Grattan Bellew, DO

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1417103094
  Medicare reassignment Care Compare group NPD Authorized official
• Karisa Kyueun Son, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1780064212
  Medicare reassignment Care Compare group NPD
• Chauntelle Vidinha, DO

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1588193627

  NV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1538708573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064802",
            "telephone_number": "702-349-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213605",
            "telephone_number": "702-551-9487",
            "fax_number": "702-924-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DOCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "BELLEW",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "702-349-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Skin Docs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Docs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Docs, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Docs, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skills 4 Kids LLC
• Skills 4 Kids, LLC
• Skin Aid LLC
• Skin Check Summerlin LLC
• Skin Check Summerlin LLC
• Skin Guard NV Inc
• Alexis Skinner
• Charles Skinner, MS, SLP
• Conrad Skinner
• Ebonie Skinner

• Dermatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.