Organization Active NPI

Certified Derm Partners LLC

  • Dermatology Physician
  • Covington, LA
National Provider Identifier
1790582542
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CERTIFIED DERM PARTNERS LLC
Practice address
1441 Ochsner Blvd
Covington, LA 70433-8110
Phone
(985) 400-5551
Fax
(985) 400-5428
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Erik J Soine, MD
Title
Managing Member
Phone
(504) 621-7158

Specialties & licenses 1

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

Addresses

Primary practice location

1441 Ochsner Blvd
Covington, LA 70433-8110

Mailing address

1441 Ochsner Blvd
Covington, LA 70433-8110
Phone (985) 363-8254

Other practice location 1

42421 Pelican Professional Park
Hammond, LA 70403-2405
Phone (985) 400-5551

National Provider Directory

National Provider Directory

Locations

1441 Ochsner Blvd
Covington, LA 70433
Phone (985) 363-8254

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1790582542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-363-8254",
            "fax_number": "985-363-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-400-5551",
            "fax_number": "985-400-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42421 Pelican Professional Park",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704032405",
            "country_code": "US",
            "telephone_number": "985-400-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CERTIFIED DERM PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SOINE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "504-621-7158",
        "authorized_official_name_prefix": "Dr.",
        "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 Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.