Active NPI
Lisa Ishii Dockery, MD
- Dermatology Physician
- Chapel Hill, NC
National Provider Identifier
1730686262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2023-02321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-02321 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Solutions PA | Dermatology | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.