Active NPI
Chester County Dermatology
- Dermatology Physician
- Downingtown, PA
National Provider Identifier
1710131438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD010365E
- Legal business name
- CHESTER COUNTY DERMATOLOGY
- Practice address
- 797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315 - Phone
- (610) 269-5612
- NPI assigned
- Nov 7, 2008
- 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
- Daniel Dvorkin, MD
- Title
- Ower
- Phone
- (610) 269-5612
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD010365E | PA | Primary |
Addresses
Primary practice location
797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315
Mailing address
797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315
Phone (610) 269-5612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082894 | Other | ASSOCIATED WITH |
National Provider Directory
National Provider DirectoryLocations
797 E Lancaster Ave
Ste 15
Downingtown, PA 19335
Phone (484) 593-0579
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Exton, PA
- NPI 1417921636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1710131438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 E LANCASTER AVE",
"address_2": "STE 15",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353315",
"telephone_number": "610-269-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 E LANCASTER AVE",
"address_2": "STE 15",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353315",
"telephone_number": "610-269-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTER COUNTY DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "DVORKIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWER",
"authorized_official_telephone_number": "610-269-5612",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD010365E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATED WITH",
"identifier": "082894",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.