| NPI | 1376780098 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-01-16 |
| Last Updated | 2023-03-06 |
| Authorized Official | Phillip Stites President Phone: 4792426647 |
| Mailing Address | 7900 Dallas St Fort Smith, AR 72903-5690 United States Phone: (479) 242-6647 | Fax: (479) 250-0505 📍 View Map |
| Primary Practice Address | 7900 Dallas Street Fort Smith, AR 72903-5690 United States Phone: (479) 242-6647 | Fax: (479) 250-0505 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AR | 176760002 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | AR | E-2778 |
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About NPI 1376780098
The Dermatology Center Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1376780098. The primary specialty listed is Dermatology. The organization is located in Fort Smith, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376780098?
NPI 1376780098 belongs to The Dermatology Center Pllc, a Dermatology in Fort Smith, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376780098 active?
The current status of NPI 1376780098 in the NPPES registry is Active. The record was last updated on 2023-03-06.
What specialty is NPI 1376780098?
NPI 1376780098 is classified under the taxonomy Dermatology. 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 1376780098?
You can verify NPI 1376780098 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 1376780098?
The primary practice address on file for NPI 1376780098 is 7900 Dallas Street, Fort Smith, AR 72903-5690. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376780098 issued?
NPI 1376780098 was first issued (enumerated) on 2009-01-16. The NPPES record was last updated on 2023-03-06.
Practice Location Map
The Dermatology Center Pllc is located at 7900 Dallas Street, Fort Smith, AR. 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 The Dermatology Center Pllc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1376780098. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | E-2778 | AR |