| NPI | 1003016312 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-07-24 |
| Last Updated | 2022-06-03 |
| Authorized Official | Greg Albers CFO Phone: 9136611755 |
| Mailing Address | 6901 W 121st St Overland Park, KS 66209-2007 United States Phone: (913) 661-1755 | Fax: (913) 661-9260 📍 View Map |
| Primary Practice Address | 6901 W 121st St Overland Park, KS 66209-2007 United States Phone: (913) 661-1755 | Fax: (913) 661-9260 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 17D0890923 | CLIA # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 174400000X – Specialist | KS | 04-25136 |
| No | 291U00000X – Clinical Medical Laboratory | KS | 04-25136 |
| Yes | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | - | - |
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About NPI 1003016312
Advanced Dermatologic Surgery, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1003016312. The primary specialty listed is Dermatology, MOHS-Micrographic Surgery. The organization is located in Overland Park, KS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-07-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003016312?
NPI 1003016312 belongs to Advanced Dermatologic Surgery, P.a., a Dermatology, MOHS-Micrographic Surgery in Overland Park, KS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003016312 active?
The current status of NPI 1003016312 in the NPPES registry is Active. The record was last updated on 2022-06-03.
What specialty is NPI 1003016312?
NPI 1003016312 is classified under the taxonomy Dermatology, MOHS-Micrographic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003016312?
You can verify NPI 1003016312 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003016312?
The primary practice address on file for NPI 1003016312 is 6901 W 121st St, Overland Park, KS 66209-2007. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003016312 issued?
NPI 1003016312 was first issued (enumerated) on 2007-07-24. The NPPES record was last updated on 2022-06-03.
Practice Location Map
Advanced Dermatologic Surgery, P.a. is located at 6901 W 121st St, Overland Park, KS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Advanced Dermatologic Surgery, P.a.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003016312. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | 04-25136 | KS |
| Clinical Medical Laboratory | 04-25136 | KS |