Organization Active NPI

Healthy Skin PLLC

  • Dermatology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1720786783
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HEALTHY SKIN PLLC
Practice address
2550 S Telegraph Rd Ste 104
Bloomfield Hills, MI 48302-0951
Phone
(248) 972-5143
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Jessica Kado, MD
Title
Doctor
Phone
(313) 877-7777

Specialties & licenses 1

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

Addresses

Primary practice location

2550 S Telegraph Rd Ste 104
Bloomfield Hills, MI 48302-0951

Mailing address

5364 W Doherty Dr
West Bloomfield, MI 48323-2708
Phone (313) 877-7777

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
23D2289913Healthy Skin, PLLC2550 S Telegraph Road Suite 104, Bloomfield Hills, MI 48302ComplianceSep 9, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1720786783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5364 W DOHERTY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232708",
            "telephone_number": "313-877-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020951",
            "telephone_number": "248-972-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SKIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "KADO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-877-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.