Valley Dermatology Center, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

291762 Issued in AK

Legal business name

VALLEY DERMATOLOGY CENTER, INC.

Practice address

851 Westpoint Dr
Ste B10
Wasilla, AK 99654-7191

Phone

(907) 357-2800

Fax

(907) 357-2801

NPI assigned

Jun 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey M Weiss, D.O.NPI 1215908207

Title

Owner

Phone

(907) 357-2800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jeffrey Weiss, M.D.

  • Dermatology Physician
  • Wasilla, AK
  • NPI 1215908207
  Authorized official Same address or phone
• Richard L Devillez, M.D.

  • Dermatology Physician
  • Corpus Christi, TX
  • NPI 1720078660
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821093550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 WESTPOINT DR",
            "address_2": "STE B10",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-357-2800",
            "fax_number": "907-357-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 WESTPOINT DR",
            "address_2": "STE B10",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-357-2800",
            "fax_number": "907-357-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DERMATOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-357-2800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AK",
            "license": "291762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F. Vachal, P.T.
• Colin Valdez, L.M.T.
• Valley Care Coordination (Desiree Ortega)
• Valley Chiropractic Clinic, Inc
• Valley Dental Clinic
• Valley Eye Associates, PC
• Valley Medical Supply
• Valley Orthodontics LLC
• Valley Orthopedic Surgery PC Dr Charles J Kase MD PC
• Valley Skill Center, Inc

• Dermatology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.