Organization Active NPI

Equation Dermatology LLC

  • Dermatology Physician
  • Minneapolis, MN
National Provider Identifier
1972211696
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EQUATION DERMATOLOGY LLC
Practice address
5000 W 36TH St Ste 205
Minneapolis, MN 55416-2760
Phone
(612) 268-5005
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Margareth Pierre-Louis, MD
Title
Owner
Phone
(919) 282-6766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

5000 W 36TH St Ste 205
Minneapolis, MN 55416-2760

Mailing address

2731 Crescent Ridge Rd
Minnetonka, MN 55305-2809
Phone (919) 282-6766

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL equationskincare.com Direct

National Provider Directory

National Provider Directory

Locations

5000 W 36th St
Ste 205
St Louis Park, MN 55416
Phone (612) 268-5005

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1972211696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 CRESCENT RIDGE RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052809",
            "telephone_number": "919-282-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162760",
            "telephone_number": "612-268-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUATION DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "PIERRE-LOUIS",
        "authorized_official_first_name": "MARGARETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-282-6766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "equationskincare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 W 36th St Ste 205",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554162760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.