Capital Dermatology of NC, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

65395 Issued in NC

Legal business name

CAPITAL DERMATOLOGY OF NC, PLLC

Practice address

7209 Creedmoor Rd Ste 105
Raleigh, NC 27613-1695

Phone

(919) 307-9461

NPI assigned

Sep 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael R Steele

Title

Practice Manager

Phone

(919) 809-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 4

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.

• Rebekah Marie Oyler, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1649248386
  Medicare reassignment Care Compare group NPD
• Avery Settle, PA

  • Physician Assistant
  • Raleigh, NC
  • NPI 1699663823
  Medicare reassignment Care Compare group NPD
• Aaron Glover, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1487043469
  Medicare reassignment Care Compare group
• Lauren Kramer, NP

  • Dermatology Physician
  • Wake Forest, NC
  • NPI 1295414563
  NPD (past)

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588173447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 CREEDMOOR RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131695",
            "telephone_number": "919-307-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 CREEDMOOR RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131695",
            "telephone_number": "919-307-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DERMATOLOGY OF NC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-809-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "65395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "9501628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Care RX LLC (Brier Creek Pharmacy)
• Capital City Health Care Providers, Inc.
• Capital City Surgery Center, LLC
• Capital Counseling & Consulting, PLLC
• Capital Counseling, PLLC
• Capital Endocrine Consultants, PA
• Capital Eye Center
• Capital Family Medicine, P.a.
• Capital Family Physicians, PA
• Capital Foot and Ankle Centers

• Dermatology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.