North Mountain Dermatology LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NORTH MOUNTAIN DERMATOLOGY LTD

Practice address

50 E Dunlap Ave
#105
Phoenix, AZ 85020-2877

Phone

(602) 944-4626

Fax

(602) 944-2805

NPI assigned

Aug 18, 2006

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Mendelson, MDNPI 1508852492

Title

President

Phone

(602) 944-4626

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah S. Mendelson, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1508852492
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1730293432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E DUNLAP AVE",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202877",
            "telephone_number": "602-944-4626",
            "fax_number": "602-944-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E DUNLAP AVE",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202877",
            "telephone_number": "602-944-4626",
            "fax_number": "602-944-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MOUNTAIN DERMATOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-944-4626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2109",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Central Shores LLC
• North Desert Consultants LLC
• North East Medical Solutions LLC
• North Haven Assisted Living Home LLC
• North Mountain Dentistry, PC
• North Mountain Family Medicine PLLC (North Mountain Family Medicine)
• North Mountain Healthcare LLC (Coronado Care Center)
• North Mountain Imaging Specialists, LLC
• North Mountain Imaging Specialists, LLC
• North Mountain Imaging Specialists, LLC

• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.