Billet Dermatology Inc

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

BILLET DERMATOLOGY INC

Practice address

5540 W Glendale Ave Ste A103
Glendale, AZ 85301-2579

Phone

(833) 224-5538

Fax

(833) 424-5538

NPI assigned

Jun 30, 2025

Last updated

May 8, 2026By 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

Zachary Coronado

Title

Administrator

Phone

(623) 521-9113

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Mark A Meyers, M.D.

  • Procedural Dermatology Physician
  • Cave Creek, AZ
  • NPI 1518928878
  Medicare reassignment NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1942199500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121",
            "telephone_number": "833-224-5538",
            "fax_number": "833-424-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W GLENDALE AVE STE A103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012579",
            "telephone_number": "833-224-5538",
            "fax_number": "833-424-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13945 W Grand Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742437",
            "country_code": "US",
            "telephone_number": "833-224-5538",
            "fax_number": "877-682-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BILLET DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-521-9113"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Biedrzycki, RBT
• David Allan Biegen, EDD
• Jolynn Bierman, CCC-SLP
• Jaime Bigler, OTR/L
• Billet by Ulu LLC
• Billet Hospice Inc - Phoenix
• Farzan Billimoria, DC
• Bettina Renee Billings, MS, BCBA, LBA
• Melanie Billings, M.S. OTR/L
• Kelly Bilof, MSN, WHNP-C

• MOHS-Micrographic Surgery Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.