BILLET DERMATOLOGY INC – NPI #1942199500
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

BILLET DERMATOLOGY INC is a dermatologist located in GLENDALE, AZ. NPPES has assigned the NPI number 1942199500 to BILLET DERMATOLOGY INC on June 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on May 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BILLET DERMATOLOGY INC below.

NPI Profile for
BILLET DERMATOLOGY INC

NPI Number
1942199500
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BILLET DERMATOLOGY INC
Primary location
5540 W GLENDALE AVE STE A103
GLENDALE, AZ 85301-2579
Phone: (833) 224-5538 Fax: (833) 424-5538
1 Other location(s):
13945 W Grand Ave Ste 101A
Surprise, AZ 85374-2437
Phone: (833) 224-5538
Fax: (877) 682-8388
Mailing address
6710 N 47TH AVE
GLENDALE, AZ 85301-4121
Phone: (833) 224-5538 Fax: (833) 424-5538
Organization Subpart
No
Authorized Official
ZACHARY CORONADO
ADMINISTRATOR
Phone: (623) 521-9113
Updated
Certification Date
May 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
207R00000X
- Internal Medicine
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.