Organization Active NPI

Piedmont Plastic Surgery & Dermatology PA

  • Dermatology Physician
  • Gastonia, NC
National Provider Identifier
1801832837
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PIEDMONT PLASTIC SURGERY & DERMATOLOGY PA
Practice address
1072 X Ray Dr Ste B
Gastonia, NC 28054-7488
Phone
(704) 671-1094
NPI assigned
Jun 20, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Daniel Ness, MDNPI 1144221722
Title
President
Phone
(704) 866-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

1072 X Ray Dr Ste B
Gastonia, NC 28054-7488

Mailing address

1072 X Ray Dr Ste B
Gastonia, NC 28054-7488
Phone (704) 671-1094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001562 NC Part B Supplier - Clinic/Group Practice 6800875188 Receives reassigned benefits from 68 practitioners
Practice locations: Charlotte, NC; Shelby, NC; Huntersville, NC; Hickory, NC; Gastonia, NC; Forest City, NC; Denver, NC; Cornelius, 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
34D2063477Piedmont Plastic Surgery & Dermatology Dermlab1072 X-Ray Drive, Gastonia, NC 28054ComplianceOct 5, 2026

National Provider Directory

National Provider Directory

Locations

974 South Point Rd
Belmont, NC 28012

974 South Point Rd
Unit F
Belmont, NC 28012
Phone (704) 671-1094

5815 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 542-2220

19900 W Catawba Ave
Ste B
Cornelius, NC 28031
Phone 7046711094101

7476 Waterside Loop Rd
Ste 600
Denver, NC 28037
Phone (704) 601-4381

1072 X Ray Dr
Ste B
Gastonia, NC 28054
Phone (704) 671-1094

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

1771 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 485-2452

1927 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 328-3500

315 19th St SE
Hickory, NC 28602
Phone (828) 325-9849

315 19th St SE
Bldg 200
Hickory, NC 28602

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1801832837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547488",
            "telephone_number": "704-671-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547488",
            "telephone_number": "704-671-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PLASTIC SURGERY & DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-866-7576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.