Billings Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BILLINGS DERMATOLOGY PC

Practice address

2294 Grant Rd
Billings, MT 59102-7423

Phone

(406) 294-9515

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 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

Michelle Qualls

Title

Practice Manager

Phone

(406) 294-9515

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Billings Dermatology PC

  • Dermatology Physician
  • Worland, WY
  • NPI 1902400690

  1951718170

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Melanie M Lehman, PA-C

  • Medical Physician Assistant
  • Auburn, CA
  • NPI 1659478360

  MT

  Medicare reassignment Care Compare group NPD
• Laine Elam, PAC

  • Physician Assistant
  • Muncie, IN
  • NPI 1265516751

  MT

  Medicare reassignment NPD
• Kynzie Oliver, PAC

  • Physician Assistant
  • Williston, ND
  • NPI 1346799400

  MT

  Medicare reassignment NPD
• Tanya Nicole Riddle, M.D.

  • Dermatology Physician
  • Englewood, CO
  • NPI 1497010250

  MT

  Medicare reassignment NPD

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1881298560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 GRANT RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027423",
            "telephone_number": "406-294-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 GRANT RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027423",
            "telephone_number": "406-294-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLINGS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-294-9515"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Billings Family Optical PLLC
• Billings Foot and Ankle

• Dermatology Physician in Billings, MT
• Providers in Billings, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.