JDR Dermatology Research, LLC.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JDR DERMATOLOGY RESEARCH, LLC.

Doing business as

JDR Dermatology Research

Practice address

9080 W Post Rd Ste 100
Las Vegas, NV 89148

Phone

(702) 331-4123

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

John Dull

Title

Billing Manager

Phone

(702) 430-5333

Specialties & licenses 1

Addresses

Other names 1

• JDR Dermatology Research Doing business as

Practitioners 2

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.

• Douglas Thomas, MD

  • MOHS-Micrographic Surgery Physician
  • Las Vegas, NV
  • NPI 1730101023

  Dermatology

  NPD
• James Del Rosso, DO

  • MOHS-Micrographic Surgery Physician
  • Las Vegas, NV
  • NPI 1083636369
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1609358886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 W POST RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482419",
            "telephone_number": "702-331-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 W POST RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-331-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDR DERMATOLOGY RESEARCH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-430-5333"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDR Dermatology Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 4, 2018; 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.