VALLEY DERMATOLOGY PLLC
NPI 1578360665
Dermatology in Glendale, AZ

Active since February 26, 2025
5702 W GLENDALE AVE, GLENDALE, AZ 85301(623) 937-8969 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About Valley Dermatology Pllc NPPES

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

VALLEY DERMATOLOGY PLLC (NPI 1578360665) is a healthcare organization registered as a dermatology in Glendale, Arizona and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Mesa and lists Kyle Sanniec, Manager, as its authorized official.

NPPES Registry Identity

NPI1578360665
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVALLEY DERMATOLOGY PLLC
Location Address5702 W GLENDALE AVEGlendale, AZ 85301-2556
Mailing AddressPo Box 94765Phoenix, AZ 85070-4765
Organization SubpartNo
Authorized OfficialKyle SanniecManager · (602) 376-8638
Enumeration DateFebruary 26, 2025
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1578360665 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/Center · Health ServiceTaxonomy 261QH0100X
5702 W GLENDALE AVE, Glendale, AZ 85301

Secondary Practice Location 1

Location 11121 S Gilbert Rd Ste 102Mesa, AZ 85204-5235 · Phone (480) 779-4008

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Valley Dermatology PLLC's NPI number?

The NPI number for Valley Dermatology PLLC is 1578360665. It was assigned to this organization in the NPPES registry on February 26, 2025.

Where is Valley Dermatology PLLC located?

Valley Dermatology PLLC is located at 5702 W Glendale Ave, Glendale, AZ 85301. The listed phone number is (623) 937-8969.

What is Valley Dermatology PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Valley Dermatology PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.