Active NPI
Darst Dermatology, PC
- Dermatology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2008-00083
- 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, 2011
- 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
- Dr. Marc Darst, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
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 |
|---|---|---|---|
| 34D1096969 | Darst Dermatology, PC | Compliance | Jul 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1144208158
-
- Physician Assistant
- Monroe, NC
- NPI 1578103636
-
- Medical Physician Assistant
- Charlotte, NC
- NPI 1669945259
-
- Physician Assistant
- Charlotte, NC
- NPI 1861240707
-
- Physician Assistant
- Charlotte, NC
- NPI 1942892369
-
- Dermatology Physician
- Matthews, NC
- NPI 1801814272
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.