1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Dermatology
  6. NPI Profile

SKIN CONCIERGE, LLC.
NPI 1497270664
Dermatology - Clinical & Laboratory Dermatological Immunology in Tucson, AZ

Active since August 09, 2017
1310 W. ST. MARY'S ROAD, 2ND FLOOR, SUITE A, TUCSON, AZ 85745(520) 333-5973(520) 221-2318 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Aug 6, 2020, Aug 9, 2017 (3 updates tracked since 2017).

About Skin Concierge, Llc. NPPES

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

SKIN CONCIERGE, LLC. (NPI 1497270664) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Tucson, Arizona and active in the NPI registry since August 2017. The organization lists Destiny Gypsylee Mattox, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1497270664
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameSKIN CONCIERGE, LLC.
Location Address1310 W. ST. MARY'S ROAD, 2ND FLOOR, SUITE ATucson, AZ 85745
Mailing Address1310 W Saint Marys Rd Ste ATucson, AZ 85745-3231 · (520) 333-5973 · Fax (520) 221-2318
Phone(520) 333-5973
Fax(520) 221-2318
Organization SubpartNo
Authorized OfficialDestiny Gypsylee MattoxPractice Manager · (520) 333-5973
Enumeration DateAugust 9, 2017
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1497270664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
1310 W. ST. MARY'S ROAD, Tucson, AZ 85745
Open in Google Maps ↗

Other Identifiers 1

Medicaid162831AZ

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

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 Skin Concierge, LLC.'s NPI number?

The NPI number for Skin Concierge, LLC. is 1497270664. It was assigned to this organization in the NPPES registry on August 9, 2017.

Where is Skin Concierge, LLC. located?

Skin Concierge, LLC. is located at 1310 W. St. Mary's Road 2nd Floor, Suite A, Tucson, AZ 85745. The listed phone number is (520) 333-5973.

What is Skin Concierge, LLC.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Skin Concierge, LLC. was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.