Individual provider Active NPI

Lisa Ishii Dockery, MD

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1730686262
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2023-02321 Issued in NC
Practice address
5821 Farrington Rd Ste 101
Chapel Hill, NC 27517-9901
Phone
(919) 403-6200
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2023-02321 NC Primary

Addresses

Primary practice location

5821 Farrington Rd Ste 101
Chapel Hill, NC 27517-9901

Mailing address

2543 Meridian Pkwy Apt 6318
Durham, NC 27713-4229
Phone (404) 693-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-02321NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Solutions PA Dermatology CurrentSince Oct 1, 2023 Accepting new patients

Locations

5821 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 289-4645

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1730686262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 MERIDIAN PKWY APT 6318",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134229",
            "telephone_number": "404-693-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-403-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "LISA",
        "middle_name": "ISHII",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-09-29",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2023-02321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.