Carefree Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CAREFREE DERMATOLOGY PC

Practice address

7208 E Cave Creek Road
Unit E
Cave Creek, AZ 85331

Phone

(480) 885-3377

Fax

(480) 885-3376

NPI assigned

Aug 8, 2022

Last updated

Oct 11, 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

Dr. Susan Kallal, MDNPI 1447312384

Title

Owner

Phone

(480) 885-3377

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Susan Margaret Kallal, MD PHARM D

  • Dermatology Physician
  • Bellingham, WA
  • NPI 1447312384

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1598493629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 E CAVE CREEK ROAD",
            "address_2": "UNIT E",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "85331",
            "telephone_number": "480-885-3377",
            "fax_number": "480-885-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 E CAVE CREEK ROAD",
            "address_2": "UNIT E",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "85331",
            "telephone_number": "480-885-3377",
            "fax_number": "480-885-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KALLAL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-885-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "SOFTWARE",
            "address_1": "7208 E CAVE CREEK ROAD",
            "address_2": "UNIT E",
            "city": "CAVE CREEK",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruncuso Holdings LLC (GreenWell Health)
• April Rachelle Bryant, PHARMD
• Buena Vista Recovery
• Genna M Cammarata, D.O.
• Carefree Behavioral Health, PLLC
• Castle Dental Group PC
• Baylie Catrett
• Kaleigh Catt, DMD
• Cave Creek Chiropractic LLC
• Cave Creek Dentistry, LLP (Cave Creek Dentistry)

• Dermatology Physician in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.