NPIMap

Organization Active NPI

Fall River Dermatology PC

  • Dermatology Physician
  • Fall River, MA
National Provider Identifier
1811232820
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
249077 Issued in MA
Legal business name
FALL RIVER DERMATOLOGY PC
Practice address
191 Bedford St
Fall River, MA 02720-3050
Phone
(508) 567-4550
Fax
(508) 917-8706
NPI assigned
Dec 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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

Authorized official

Name
Dr. Daniel E Viders, MD
Title
Owner
Phone
(508) 847-6616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 249077 MA Primary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 247239 MA

Addresses

Primary practice location

191 Bedford St
Fall River, MA 02720-3050

Mailing address

207 Southbridge St
Auburn, MA 01501-2548
Phone (508) 832-7118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354406400000",
    "number": "1811232820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012548",
            "telephone_number": "508-832-7118",
            "fax_number": "508-917-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203050",
            "telephone_number": "508-567-4550",
            "fax_number": "508-917-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL RIVER DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-02",
        "status": "A",
        "authorized_official_last_name": "VIDERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-847-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "249077",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "247239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.