Active NPI
Deborah S. Mendelson, MD PLC
- Dermatology Physician
- Phoenix, AZ
National Provider Identifier
1790020295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DEBORAH S. MENDELSON, MD PLC
- Practice address
- 9327 N 3Rd St
Ste 206
Phoenix, AZ 85020-2470 - Phone
- (602) 944-4626
- Fax
- (602) 396-5800
- NPI assigned
- Dec 10, 2012
- 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
- Deborah S. Mendelson, MD
- Title
- Managing Member
- Phone
- (602) 944-4626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
9327 N 3Rd St
Ste 206
Phoenix, AZ 85020-2470
Mailing address
111 E Dunlap Ave
#1-471
Phoenix, AZ 85020-2807
Phone (602) 944-4626
National Provider Directory
National Provider DirectoryLocations
111 E Dunlap Ave
Ste 1471
Phoenix, AZ 85020
111 E Dunlap Ave
#1471
Phoenix, AZ 85020
Phone (602) 944-4626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358726400000",
"number": "1790020295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E DUNLAP AVE",
"address_2": "#1-471",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202807",
"telephone_number": "602-944-4626",
"fax_number": "602-396-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9327 N 3RD ST",
"address_2": "STE 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202470",
"telephone_number": "602-944-4626",
"fax_number": "602-396-5800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH S. MENDELSON, MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-10",
"last_updated": "2013-01-21",
"status": "A",
"authorized_official_last_name": "MENDELSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "602-944-4626",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.