Individual provider Active NPI

Dawn Elizabeth Kleinman, MD

  • Dermatology Physician
  • Sanford, NC
National Provider Identifier
1629164850
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9801337 Issued in NC
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9801337OtherNCNORTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001629 NC Practitioner - Dermatology 0941298020 Reassigns benefits to 2 organizations

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
Sanford Dermatology, PLLCGroup PAC ID 1355560152, 5 clinicians

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 100Reported as individual
Quality
97.14
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions1139
Removal or shaving of skin growth1-10
Skin biopsy184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9801337NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Dermatology PLLC Dermatology CurrentSince Jul 1, 2015 Accepting new patients
On Site Dermatology of North Carolina, PLLC Dermatology CurrentSince May 13, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.