Organization Active NPI

Skindulgence Medspa PLLC

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1750254959
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKINDULGENCE MEDSPA PLLC
Practice address
2700 Coltsgate Rd Ste 101
Charlotte, NC 28211-3573
Phone
(704) 516-0024
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mr. Rohit Roy Kavuri
Title
Chief Executive Officer
Phone
(217) 972-5400

Specialties & licenses 1

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

Addresses

Primary practice location

2700 Coltsgate Rd Ste 101
Charlotte, NC 28211-3573

Mailing address

8706 Case Ridge Dr
Oak Ridge, NC 27310-9690
Phone (217) 972-5400

National Provider Directory

National Provider Directory

Locations

2700 Coltsgate Rd
Ste 101
Charlotte, NC 28211
Phone (704) 365-3588

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1750254959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 CASE RIDGE DR",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109690",
            "telephone_number": "217-972-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 COLTSGATE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113573",
            "telephone_number": "704-516-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINDULGENCE MEDSPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "KAVURI",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-972-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Sep 29, 2025; 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.