NPIMap

Organization Active NPI

Oakview Dermatology

  • Dermatology Physician
  • Rock Hill, SC
National Provider Identifier
1942844667
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
OAKVIEW DERMATOLOGY
Practice address
937 Riverwalk Pkwy Ste 202
Rock Hill, SC 29730-0178
Phone
(740) 300-1746
NPI assigned
Nov 6, 2019
Organization subpart
Yes
Parent organization
OAKVIEW DERMATOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Dawn Sammons
Title
Owner
Phone
(740) 300-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

937 Riverwalk Pkwy Ste 202
Rock Hill, SC 29730-0178

Mailing address

2111 E State St
Athens, OH 45701-2138

Other practice location 1

485 Tom Hall St Ste 101
Fort Mill, SC 29715-2353
Phone (803) 228-7972

Other practice location 2

200 Herlong Ave S
Rock Hill, SC 29732-3399
Phone (740) 566-4621

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2191110Oakview Dermatology937 Riverwalk Parkway, Rock Hill, SC 29730Certificate of waiverAug 23, 2026
42D2261100Oakview Dermatology200 South Herlong Ave Suite E, Rock Hill, SC 29732ComplianceJun 30, 2026
42D2326142Oakview Dermatology485 Tom Hall St Ste 101, Fort Mill, SC 29715Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory
Part of
Oakview Dermatology

Locations

200 Herlong Ave S
Rock Hill, SC 29732
Phone (740) 566-4621

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1942844667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 RIVERWALK PKWY STE 202",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300178",
            "telephone_number": "740-300-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Tom Hall St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297152353",
            "country_code": "US",
            "telephone_number": "803-228-7972",
            "fax_number": "803-228-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297323399",
            "country_code": "US",
            "telephone_number": "740-566-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKVIEW DERMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKVIEW DERMATOLOGY",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-300-1746"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.