Active NPI
Dermatology Services Inc.
- Dermatology Physician
- Westerville, OH
National Provider Identifier
1992717904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35056491
- Legal business name
- DERMATOLOGY SERVICES INC.
- Practice address
- 615 Copeland Mill Rd
Suite 1 E
Westerville, OH 43081-8904 - Phone
- (614) 895-4805
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Will T. Rogers
- Title
- Treasurer
- Phone
- (614) 895-4805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35056491 | OH | Primary |
Addresses
Primary practice location
615 Copeland Mill Rd
Suite 1 E
Westerville, OH 43081-8904
Mailing address
615 Copeland Mill Rd
Suite 1 E
Westerville, OH 43081-8904
Phone (614) 895-4805
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1992717904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 COPELAND MILL RD",
"address_2": "SUITE 1 E",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818904",
"telephone_number": "614-895-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 COPELAND MILL RD",
"address_2": "SUITE 1 E",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818904",
"telephone_number": "614-895-4805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "614-895-4805",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "OH",
"license": "35056491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.