Active NPI
Zen Lo Dermatology, Inc
- Specialist
- Glen Allen, VA
National Provider Identifier
1679755789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101051656
- Legal business name
- ZEN LO DERMATOLOGY, INC
- Practice address
- 10120 West Broad Street
Suite R
Glen Allen, VA 23060 - Phone
- (804) 934-0060
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Royal Love
- Title
- President
- Phone
- (804) 934-0060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101051656 | VA | Primary |
Addresses
Primary practice location
10120 West Broad Street
Suite R
Glen Allen, VA 23060
Mailing address
10120 West Broad Street
Suite R
Glen Allen, VA 23060
Phone (804) 934-0060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD7147 | Other | VA | MEDICARE RAILROAD |
| 183408 | Other | VA | ANTHEM |
| C09951 | Other | VA | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
10120 W Broad St
Ste R
Glen Allen, VA 23060
Phone (804) 934-0060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1679755789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 WEST BROAD STREET",
"address_2": "SUITE R",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23060",
"telephone_number": "804-934-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 WEST BROAD STREET",
"address_2": "SUITE R",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23060",
"telephone_number": "804-934-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEN LO DERMATOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "ROYAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-934-0060",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101051656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DD7147",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "183408",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C09951",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.