HAPPY SKIN PLLC – NPI #1134870595
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

HAPPY SKIN PLLC is a dermatologist located in PHOENIX, AZ. NPPES has assigned the NPI number 1134870595 to HAPPY SKIN PLLC on January 17, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

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 HAPPY SKIN PLLC below.

NPI Profile for
HAPPY SKIN PLLC

NPI Number
1134870595
Enumeration Date

(more than 4 years 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
HAPPY SKIN PLLC
Other name(s)
All associated names:
Former Legal Business Name
Focused Pediatric Dermatology
Doing Business As (dba)
Happy Skin Pediatric Dermatology
Primary location
3201 W PEORIA AVE STE A105
PHOENIX, AZ 85029-4609
Phone: (602) 837-3376 Fax: (949) 955-4657
Mailing address
14030 N 20TH ST
PHOENIX, AZ 85022-4678
Phone: (602) 499-2362 Fax:
Organization Subpart
No
Authorized Official
SAMANTHA CASSELMAN
PNP, OWNER
Phone: (602) 499-2362
Updated
Certification Date
Jan 12, 2022

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.

Identifiers

Identifiers for HAPPY SKIN PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ3476860446
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
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)
208000000X
- Pediatrics

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.