DERM ONE PLLC
NPI 1255677555
Dermatology in Princeton, WV

Active since December 14, 2012CLIA 51D2161261 · Waiver
34 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740(304) 425-9448(304) 431-2589 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derm One Pllc NPPES

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

DERM ONE PLLC (NPI 1255677555) is a healthcare organization registered as a dermatology in Princeton, West Virginia and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists David L Tolliver, President, as its authorized official.

NPPES Registry Identity

NPI1255677555
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERM ONE PLLC
Location Address34 NEW HOPE RD, SUITE 1Princeton, WV 24740-2354
Mailing Address34 New Hope Rd, Suite 1Princeton, WV 24740-2354 · (304) 425-9448 · Fax (304) 431-2589
Fax(304) 431-2589
Organization SubpartNo
Authorized OfficialDavid L TolliverPresident · (276) 326-3376
Enumeration DateDecember 14, 2012
NPI 1255677555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
34 NEW HOPE RD, Princeton, WV 24740

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

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 of Waiver 51D2161261

Derm One, PLLC · Princeton, WV
Active · expires Jan 29, 2027
CLIA Number51D2161261
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorMs. Melissa Buckner
Laboratory Phone(304) 425-9448
Laboratory LocationDerm One, PLLC296 New Hope Rd St 1, Princeton, WV 24740
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Derm One PLLC's NPI number?

The NPI number for Derm One PLLC is 1255677555. It was assigned to this organization in the NPPES registry on December 14, 2012.

Where is Derm One PLLC located?

Derm One PLLC is located at 34 New Hope Rd Suite 1, Princeton, WV 24740. The listed phone number is (304) 425-9448.

What is Derm One PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Derm One PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2161261) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Derm One PLLC was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.