Active NPI
Dawn Elizabeth Kleinman, MD
- Dermatology Physician
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9801337
- Practice address
- 1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070 - Phone
- (919) 775-7926
- Fax
- (919) 718-0092
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9801337 | NC | Primary |
Addresses
Primary practice location
1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Mailing address
1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Phone (919) 775-7926
Other practice location 1
959 East St Ste B
Pittsboro, NC 27312-8861
Phone (919) 775-7926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9801337 | Other | NC | NORTH CAROLINA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S 10TH St
Lillington, NC 27546-6690
Phone (919) 775-7926
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.57 of 100
- Quality
- 97.14
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of skin lesions | 1139 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801337 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Dermatology PLLC | Dermatology | Current | Accepting new patients |
| On Site Dermatology of North Carolina, PLLC | Dermatology | Current | Accepting new patients |
| Sanford Dermatology, PA | Dermatology | Past | Accepting new patients |
| Central Dermatology Center, PA | Past | Accepting new patients |
Locations
3800 Shamrock Dr
Charlotte, NC 28215
Phone (704) 324-8237
5215 Randolph Rd
Charlotte, NC 28211
Phone (704) 234-5198
7745 Little Ave
Charlotte, NC 28226
Phone (704) 341-1117
3700 Taylor Glen Ln NW
Concord, NC 28027
Phone (704) 721-0478
700 S Holden Rd
Greensboro, NC 27407
Phone (336) 299-0031
100 S 10th St
Lillington, NC 27546
Phone (910) 893-4111
959 East St
Ste B
Pittsboro, NC 27312
Phone (919) 636-7585
1500 Sawmill Rd
Raleigh, NC 27615
Phone (919) 848-7000
3737 Glenwood Ave
Ste 100
Raleigh, NC 27612
Phone (919) 881-8295
8801 Cypress Lakes Dr
Raleigh, NC 27615
Phone (919) 518-8900
1911 K M Wicker Memorial Dr
Sanford, NC 27330
Phone (919) 775-1000
827 S Horner Blvd
Ste B
Sanford, NC 27330
Phone (919) 619-1256
100 Hedrick Dr
Thomasville, NC 27360
Phone (336) 472-2017
1200 Porters Neck Rd
Wilmington, NC 28411
Phone (866) 806-6213
1000 Salemtowne Dr
Winston Salem, NC 27106
Phone (336) 767-8130
Interoperability endpoints
- https://centralderm.mmi.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Sanford, NC
- NPI 1205240868
-
- Dermatology Physician
- Raleigh, NC
- NPI 1376957340
-
- Specialist
- Chapel Hill, NC
- NPI 1609269398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1629164850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 K M WICKER MEMORIAL DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305070",
"telephone_number": "919-775-7926",
"fax_number": "919-718-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 K M WICKER MEMORIAL DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305070",
"telephone_number": "919-775-7926",
"fax_number": "919-718-0092"
}
],
"practiceLocations": [
{
"address_1": "959 East St Ste B",
"address_purpose": "LOCATION",
"city": "Pittsboro",
"state": "NC",
"postal_code": "273128861",
"country_code": "US",
"telephone_number": "919-775-7926",
"fax_number": "919-718-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINMAN",
"first_name": "DAWN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "9801337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAL LICENSE",
"identifier": "9801337",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.