Organization Active NPI

Darst Dermatology, PC

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1740434158
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2008-00083 Issued in NC
Legal business name
DARST DERMATOLOGY, PC
Practice address
11301 Golf Links Dr N
Suite 203
Charlotte, NC 28277-8013
Phone
(704) 321-3376
Fax
(704) 541-6558
NPI assigned
Nov 12, 2008
Last updated
Aug 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Marc Darst, MDNPI 1144208158
Title
Owner
Phone
(704) 321-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2008-00083 NC Primary

Addresses

Primary practice location

11301 Golf Links Dr N
Suite 203
Charlotte, NC 28277-8013

Mailing address

PO Box 5304
Johnson City, TN 37602-5304
Phone (704) 321-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090610000600 NC Part B Supplier - Clinic/Group Practice 1850441908 Receives reassigned benefits from 7 practitioners
Practice locations: Monroe, NC; Charlotte, NC

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
34D1096969Darst Dermatology, PC11301 Golf Links Drive North, Suite 203, Charlotte, NC 28277ComplianceJul 5, 2027

National Provider Directory

National Provider Directory

Locations

11024 Golf Links Dr
Ste 203
Charlotte, NC 28277
Phone (704) 321-3376

11301 Golf Links Dr N
Charlotte, NC 28277
Phone (980) 280-4010

11301 Golf Links Dr N
Ste 203
Charlotte, NC 28277
Phone (704) 321-3376

2000 Wellness Blvd
Ste 140A
Monroe, NC 28110

349 Venus St
Monroe, NC 28112
Phone (704) 635-7418

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJECBA

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1740434158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5304",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025304",
            "telephone_number": "704-321-3376",
            "fax_number": "704-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 GOLF LINKS DR N",
            "address_2": "SUITE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778013",
            "telephone_number": "704-321-3376",
            "fax_number": "704-541-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARST DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "DARST",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-321-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2008-00083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.