WESTSIDE DERMATOLOGY, LLC
NPI 1801013719
Dermatology in Spartanburg, SC

Active since April 20, 2007
1410B JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306(864) 574-0017(864) 574-6088 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Westside Dermatology, Llc NPPES

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

WESTSIDE DERMATOLOGY, LLC (NPI 1801013719) is a healthcare organization registered as a dermatology in Spartanburg, South Carolina and active in the NPI registry since April 2007. The organization lists Peter J Neidenbach, Member, as its authorized official.

NPPES Registry Identity

NPI1801013719
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTSIDE DERMATOLOGY, LLC
Location Address1410B JOHN B WHITE SR BLVDSpartanburg, SC 29306-3927
Mailing Address1410b John B White Sr BlvdSpartanburg, SC 29306-3927 · (864) 574-0017 · Fax (864) 574-6088
Fax(864) 574-6088
Organization SubpartNo
Authorized OfficialPeter J NeidenbachMember · (864) 574-0017
Enumeration DateApril 20, 2007
Last NPPES UpdateOctober 11, 2007
NPI 1801013719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in SC · 16384
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.
1410B JOHN B WHITE SR BLVD, Spartanburg, SC 29306

Other Identifiers 1

Medicare PIN5867SC

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

Other Providers at the Same Location NPPES

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

Dermatology
1410B JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306

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 Westside Dermatology, LLC's NPI number?

The NPI number for Westside Dermatology, LLC is 1801013719. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Westside Dermatology, LLC located?

Westside Dermatology, LLC is located at 1410B John B White Sr Blvd, Spartanburg, SC 29306. The listed phone number is (864) 574-0017.

What is Westside Dermatology, LLC'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 Westside Dermatology, LLC was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.