Organization Active NPI

Dermatology Associates of Charlotte

  • Dermatology Physician
  • Matthews, NC
National Provider Identifier
1689644197
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF CHARLOTTE
Practice address
101 E Matthews St
Suite 600
Matthews, NC 28105-4866
Phone
(704) 321-1595
Fax
(704) 321-2634
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Jim A. Rogers, M.D.
Title
Managing Partner/Dermatologist
Phone
(704) 321-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

101 E Matthews St
Suite 600
Matthews, NC 28105-4866

Mailing address

101 E Matthews St
Suite 600
Matthews, NC 28105-4866
Phone (704) 321-1595

Other identifiers 1

IdentifierTypeStateIssuer
02763OtherNCBCBS OF NC GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

101 E Matthews St
Ste 600
Matthews, NC 28105
Phone (704) 321-1595

Practitioners & affiliated clinicians

Practitioners 2

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1689644197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 600",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-321-1595",
            "fax_number": "704-321-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 600",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-321-1595",
            "fax_number": "704-321-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "704-321-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP NUMBER",
            "identifier": "02763",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.