CANTON DERMATOLOGY CLINIC, INC
NPI 1295819290
Dermatology - Procedural Dermatology in Canton, MA

Q: What is Canton Dermatology Clinic, Inc's NPI number?

The NPI number for Canton Dermatology Clinic, Inc is 1295819290. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Canton Dermatology Clinic, Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since October 25, 2006

95 WASHINGTON ST, CANTON, MA 02021(781) 821-2888(781) 821-8684 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Canton Dermatology Clinic, Inc NPPES

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

CANTON DERMATOLOGY CLINIC, INC (NPI 1295819290) is a healthcare organization registered as a procedural dermatology in Canton, Massachusetts and active in the NPI registry since October 2006. The organization lists Jafar Koupaie, President, as its authorized official.

NPPES Registry Identity

NPI1295819290

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameCANTON DERMATOLOGY CLINIC, INC

Location Address95 WASHINGTON STCanton, MA 02021-4006

Mailing Address95 Washington StCanton, MA 02021-4006 · (781) 821-2888 · Fax (781) 821-8684

Phone(781) 821-2888

Fax(781) 821-8684

Organization SubpartNo

Authorized OfficialJafar KoupaiePresident · (781) 821-2888

Enumeration DateOctober 25, 2006

Last NPPES UpdateAugust 11, 2014

✔ NPI 1295819290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

95 WASHINGTON ST, Canton, MA 02021

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Other Identifiers 1

Medicare PINM21105MA

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 Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

JESSICA CHRISTINE LARIVIERE DPT

Physical Therapist

95 WASHINGTON ST, STE 462
CANTON, MA 02021

Norfolk County (781) 828-7920

MICHELE CRERAR PT

Physical Therapist

95 WASHINGTON ST
CANTON, MA 02021

Norfolk County (781) 828-7920

MR. ZAKI MICHAEL MUKDISSI DMD

Dentist (General Practice)

95 WASHINGTON ST, SUITE 472
CANTON, MA 02021

Norfolk County (781) 828-2600

LISA BETH SILVERMAN RPH

Pharmacist

95 WASHINGTON ST
CANTON, MA 02021

Norfolk County (508) 897-8866

DR. CYNTHIA HOWE INNES DMD

Dentist (General Practice)

95 WASHINGTON ST
CANTON, MA 02021

Norfolk County (781) 821-2120

DR. FADI FARAH D.M.D

Dentist (Periodontics)

95 WASHINGTON ST
CANTON, MA 02021

Norfolk County (781) 821-2120

JOHN A BROWN PH.D.

Psychologist (Forensic)

95 WASHINGTON ST, #402-146
CANTON, MA 02021

Norfolk County (617) 308-0778

MR. CRAIG STEVEN TARANTINO MS, PT

Physical Therapist (Orthopedic)

95 WASHINGTON ST
CANTON, MA 02021

Norfolk County (781) 828-7920

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 Canton Dermatology Clinic, Inc's NPI number?

The NPI number for Canton Dermatology Clinic, Inc is 1295819290. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Canton Dermatology Clinic, Inc located?

Canton Dermatology Clinic, Inc is located at 95 Washington St, Canton, MA 02021. The listed phone number is (781) 821-2888.

What is Canton Dermatology Clinic, Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

What insurance does Canton Dermatology Clinic, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Canton Dermatology Clinic, Inc 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 Canton Dermatology Clinic, Inc was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.