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EAST VALLEY DERMATOLOGY RX, LLC
NPI 1013312925
Non-Pharmacy Dispensing Site in Chandler, AZ

Active since November 04, 2014CLIA 03D1006709 · Microscopy
1100 S DOBSON RD, #223, CHANDLER, AZ 85286(480) 821-8888(480) 821-0888 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2019, May 1, 2019 (2 updates tracked since 2019).

About East Valley Dermatology Rx, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VALLEY DERMATOLOGY RX, LLC (NPI 1013312925) is a healthcare organization registered as a non-pharmacy dispensing site in Chandler, Arizona and active in the NPI registry since November 2014. The organization holds a CLIA Microscopy certificate valid through February 14, 2028 and lists Jennifer Ann Davis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013312925
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEAST VALLEY DERMATOLOGY RX, LLC
Location Address1100 S DOBSON RD, #223Chandler, AZ 85286-6157
Mailing Address1100 S Dobson Rd, #223Chandler, AZ 85286-6157 · (480) 821-8888 · Fax (480) 821-0888
Phone(480) 821-8888
Fax(480) 821-0888
Organization SubpartNo
Authorized OfficialJennifer Ann DavisOffice Manager · (480) 821-8888
Enumeration DateNovember 4, 2014
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1013312925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Also ListedDermatologyTaxonomy 207N00000X · License 26816 (AZ)
1100 S DOBSON RD, Chandler, AZ 85286
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D1006709

East Valley Dermatology Center · Chandler, AZ
Active · expires Feb 14, 2028
CLIA Number03D1006709
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorRosemary J. Geary
Laboratory Phone(480) 821-8888
Laboratory LocationEast Valley Dermatology Center1100 S Dobson Rd #223, Chandler, AZ 85286
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE YOO
Physician Assistant
1100 S DOBSON RD, #100
CHANDLER, AZ 85286
Maricopa County (480) 347-4300
MRS. WENDY ANN RIDENOUR PA-C
Physician Assistant
1100 S DOBSON RD, SUITE 223
CHANDLER, AZ 85286
Maricopa County (480) 821-8888
JILL J MCKENZIE MD
Dermatology (MOHS-Micrographic Surgery)
1100 S DOBSON RD, 223
CHANDLER, AZ 85286
Maricopa County (480) 821-8888
DR. RYAN FALSEY MD
Dermatology
1100 S DOBSON RD, #223
CHANDLER, AZ 85286
Maricopa County (480) 821-8888
ALBERT AMINI M.D.
Surgery
1100 S DOBSON RD, SUITE 204
CHANDLER, AZ 85286
Maricopa County (602) 582-5233
DR. LARRY J. SANDERS M.D.
Orthopaedic Surgery
1100 S DOBSON RD, SUITE 203
CHANDLER, AZ 85286
Maricopa County (480) 962-8485
HIMAL RAJIV SHAH M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1100 S DOBSON RD, A105
CHANDLER, AZ 85286
Maricopa County (480) 289-4550
MOHAMMAD SHAKIR M.D.
Specialist
1100 S DOBSON RD, 102
CHANDLER, AZ 85286
Maricopa County (480) 855-4078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Valley Dermatology Rx, LLC's NPI number?

The NPI number for East Valley Dermatology Rx, LLC is 1013312925. It was assigned to this organization in the NPPES registry on November 4, 2014.

Where is East Valley Dermatology Rx, LLC located?

East Valley Dermatology Rx, LLC is located at 1100 S Dobson Rd #223, Chandler, AZ 85286. The listed phone number is (480) 821-8888.

What is East Valley Dermatology Rx, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does East Valley Dermatology Rx, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D1006709) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Valley Dermatology Rx, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list East Valley Dermatology Rx, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Valley Dermatology Rx, LLC was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.