Medical Arts Dermatology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6534 Issued in NM

Legal business name

MEDICAL ARTS DERMATOLOGY PC

Practice address

801 Encino PL NE
Ste E6
Albuquerque, NM 87102-2645

Phone

(505) 299-4414

Fax

(505) 299-4513

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Donald D. Harville, M.D.

Title

President

Phone

(505) 299-4414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1962682195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE E6",
            "city": "ALBUQ",
            "state": "NM",
            "postal_code": "871022645",
            "telephone_number": "505-299-4414",
            "fax_number": "505-299-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE E6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022645",
            "telephone_number": "505-299-4414",
            "fax_number": "505-299-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "HARVILLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-299-4414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medested
• Nathan W Medford
• Tiffany Oselio Medford, DPT
• Media Arts Collaborative Charter School
• Medic Buddy, LLC
• Medical Case Management, Inc.
• Medical Consulting Media, Inc.
• Medical Management Inc
• Medical Practice Solutions
• Medical Rehab Center of New Mexico PA

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.