Active NPI
Healthy Skin PLLC
- Dermatology Physician
- Bloomfield Hills, MI
National Provider Identifier
1720786783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2289913 | Healthy Skin, PLLC | Compliance | Sep 9, 2026 |
National Provider Directory
National Provider DirectoryNPI 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
- Sarah Haycock, RDN
- Jack Phillip Haynes, PH.D.
- Suzanne M Haynes, M.S.
- Toby Hazan, M.D.
- Health Choice Medical Group, P.C.
- Heartland-Georgian Bloomfield of Bloomfield Hills Mi LLC (Heartland Health Care Center-Bloomfield Hills)
- Hearts & Minds Empowered LLC
- Tamara Heaton-Wyrick, LMSW (LCSW)
- Hebe Dermatology (Hebe)
- Gretchen Hebekeuser
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.