Skin Deep Aesthetics, LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

SKIN DEEP AESTHETICS, LLC

Doing business as

Skin Deep Dermatology & Aesthetics

Practice address

1714 W Guadalupe Rd Ste 201
Gilbert, AZ 85233-2943

Phone

(480) 980-1968

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Mary Frausto, NP

Title

Owner/ Provider

Phone

(480) 980-1968

Specialties & licenses 1

Addresses

Other names 1

• Skin Deep Dermatology & Aesthetics Doing business as

Locations

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1871051383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W GUADALUPE RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332943",
            "telephone_number": "480-980-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W GUADALUPE RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332943",
            "telephone_number": "480-980-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DEEP AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "FRAUSTO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "480-980-1968",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Deep Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demi Skaggs, LPC
• Cally Skalko
• Tiffany Skarphol, LPC
• Dustin Skarupa, PHARMD
• Brett D. Skidmore, M.D.
• Erin Elizabeth Skinner
• Kaylee Skinner, SLPA
• Kevin Skinner, M.D., D.P.M.
• Lisa Jane Skinner, MS, CCC-SLP
• Tracy Skipper

• Procedural Dermatology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Procedural Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.