Active NPI
Integrated Dermatology of Hickory, PLLC
- Dermatology Physician
- Hickory, NC
National Provider Identifier
1851703391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF HICKORY, PLLC
- Practice address
- 1870 N Center St
Hickory, NC 28601-1853 - Phone
- (828) 322-7546
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey D. Queen
- Title
- Manager
- Phone
- (561) 314-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1870 N Center St
Hickory, NC 28601-1853
Mailing address
902 Clint Moore Rd
226
Boca Raton, FL 33487-2800
Phone (561) 314-2000
National Provider Directory
National Provider DirectoryLocations
20 2nd St NW
Hickory, NC 28601
Phone (828) 328-9844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Delray Beach, FL
- NPI 1306896105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1851703391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CLINT MOORE RD",
"address_2": "226",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872800",
"telephone_number": "561-314-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 N CENTER ST",
"city": "HICKORY",
"state": "NC",
"postal_code": "286011853",
"telephone_number": "828-322-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF HICKORY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "QUEEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-314-2000"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
- Integrated Care for Greater Health, Inc
- Integrated Care of Greater Hickory, Inc
- Integrated Care of Greater Hickory, Inc
- Integrated Care of Greater Hickory, Inc
- Integrated Care of Greater Hickory, Inc
- Integrative Treatment Services LLC
- Interim Healthcare of the Triad, Inc.
- Interim Healthcare of the Triad, Inc.
- Interim Healthcare of the Triad, Inc.
- Internal Medicine &Psychiatric Services of the Piedmont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.