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DERMATOLOGY AND COSMETIC CENTER OF OKLAHOMA, P.L.L.C.
NPI 1306317581
Dermatology in Norman, OK

Active since December 16, 2018CLIA 37D2161358 · Microscopy
3580 RC LUTTRELL DR STE 102, NORMAN, OK 73072(405) 701-9073(405) 310-8708 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Feb 20, 2019, Dec 16, 2018 (3 updates tracked since 2018).

About Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. NPPES

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

DERMATOLOGY AND COSMETIC CENTER OF OKLAHOMA, P.L.L.C. (NPI 1306317581) is a healthcare organization registered as a dermatology in Norman, Oklahoma and active in the NPI registry since December 2018. The organization holds a CLIA Microscopy certificate valid through January 25, 2027 and lists Jessica Nicole Doty, President, as its authorized official.

NPPES Registry Identity

NPI1306317581
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND COSMETIC CENTER OF OKLAHOMA, P.L.L.C.
Location Address3580 RC LUTTRELL DR STE 102Norman, OK 73072-9702
Mailing Address3580 Rc Luttrell Dr Ste 102Norman, OK 73072-9736 · (405) 928-6100 · Fax (405) 928-8222
Phone(405) 701-9073
Fax(405) 310-8708
Organization SubpartNo
Authorized OfficialJessica Nicole DotyPresident · (405) 701-9073
Enumeration DateDecember 16, 2018
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1306317581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/CenterTaxonomy 261Q00000X
3580 RC LUTTRELL DR STE 102, Norman, OK 73072
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Doty, MD
Dermatology
NPI 1730523531
3580 RC LUTTRELL DR STE 102
Norman, OK 73072
(405) 928-6100
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 37D2161358

Dermatology And Cosmetic Center Of Oklahoma, PLLC · Norman, OK
Active · expires Jan 25, 2027
CLIA Number37D2161358
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorJessica N. Doty
Laboratory Phone(405) 928-6100
Laboratory LocationDermatology And Cosmetic Center Of Oklahoma, PLLC3580 Rc Luttrell Drive, Ste 102, Norman, OK 73072
CLIA data matches this NPI record on: Address Name 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.

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 Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C.'s NPI number?

The NPI number for Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. is 1306317581. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. located?

Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. is located at 3580 Rc Luttrell Dr Ste 102, Norman, OK 73072. The listed phone number is (405) 701-9073.

What is Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C.'s specialty?

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

Is Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. enrolled in Medicare?

Yes. Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2161358) is associated with this NPI, valid through January 25, 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 Dermatology And Cosmetic Center Of Oklahoma, P.L.L.C. was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.