Individual provider Active NPI

Nor Chan Chiao, M.D., J.D., LL.M.

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1841223583
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
66579 Issued in AZ
Practice address
9520 W Palm LN Ste 115
Phoenix, AZ 85037-4403
Phone
(480) 556-0446
Fax
(480) 556-0447
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A76259 CA
Procedural Dermatology Physician 207NS0135X 12210 ND
Dermatology Physician 207N00000X 66579 AZ Primary

Addresses

Primary practice location

9520 W Palm LN Ste 115
Phoenix, AZ 85037-4403

Mailing address

20401 N 73Rd St Ste 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060802000542 CA Practitioner - Dermatology 1052324373 Reassigns benefits to 1 organization
I20220920003024 AZ Practitioner - Dermatology 1052324373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.18 of 100Reported as group
Quality
65.23
Promoting interoperability
100
Improvement activities
40
Cost
75.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76259CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contour Dermatology and Cosmetic Surgery Medical Center, Apc Dermatology CurrentSince Jun 1, 2019 Accepting new patients
Epiphany Dermatology of Arizona, LLC Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Academy Dermatologists Group LLC Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Catalyst Medical Center PC Past Accepting new patients
J Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

7767 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 487-3003

1916 Paseo San Luis
Sierra Vista, AZ 85635
Phone (520) 458-1505

6648 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-8151

46080 Jefferson St
La Quinta, CA 92253
Phone (760) 423-4000

42600 Mirage Rd
#A1
Rancho Mirage, CA 92270

42600 Mirage Rd
Ste A1
Rancho Mirage, CA 92270
Phone (760) 416-6971

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: nchiao@directaddress.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBJBD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1841223583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374403",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAO",
        "first_name": "NOR",
        "middle_name": "CHAN",
        "credential": "M.D., J.D., LL.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A76259",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "ND",
            "license": "12210",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "66579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.