NPIMap

Organization Active NPI

Center for Excellence in Dermatology, PLLC

  • Specialist
  • Kennewick, WA
National Provider Identifier
1669512950
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00024575 Issued in WA
Legal business name
CENTER FOR EXCELLENCE IN DERMATOLOGY, PLLC
Practice address
8901 W Gage Blvd
Kennewick, WA 99336-7190
Phone
(509) 735-1100
Fax
(509) 735-1180
NPI assigned
Feb 7, 2007
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Robert B Hopp, M.D.NPI 1801835509
Title
Doctor
Phone
(509) 735-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00024575 WA Primary

Addresses

Primary practice location

8901 W Gage Blvd
Kennewick, WA 99336-7190

Mailing address

8901 W Gage Blvd
Kennewick, WA 99336-7190
Phone (509) 735-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090211000010 WA Part B Supplier - Clinic/Group Practice 8527123306 Receives reassigned benefits from 11 practitioners
Practice locations: Kennewick, WA
O20120817000135 OR Part B Supplier - Clinic/Group Practice 8527123306 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hermiston, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0666893Center for Excellence in Dermatology8901 W Gage Blvd, Kennewick, WA 99336ComplianceApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1050 W Elm Ave
Ste 220
Hermiston, OR 97838
Phone (509) 735-1100

1100 Southgate
Ste 4
Pendleton, OR 97801
Phone (503) 276-4160

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1669512950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367190",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367190",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EXCELLENCE IN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HOPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "509-735-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00024575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.