Organization Active NPI

Dermatheric LLC

  • Other Technician
  • Richmond, IN
National Provider Identifier
1700933744
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
DERMATHERIC LLC
Practice address
822 E Main St
Richmond, IN 47374-4331
Phone
(765) 965-7546
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Mr. James J Huber Jr.
Title
Owner
Phone
(765) 827-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

822 E Main St
Richmond, IN 47374-4331

Mailing address

748 Northside CT
Connersville, IN 47331-2583
Phone (765) 827-4000

Other identifiers 1

IdentifierTypeStateIssuer
1669452959OtherININDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Locations

748 Northside Ct
Connersville, IN 47331
Phone (765) 827-4000

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1700933744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 NORTHSIDE CT",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312583",
            "telephone_number": "765-827-4000",
            "fax_number": "765-827-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744331",
            "telephone_number": "765-965-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATHERIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-827-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1669452959",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.