Innovative Dermatology Alliance Az, PC
NPI 1215559471 · Dermatology Physician · Wickenburg, AZ
Innovative Dermatology Alliance Az, PC is a Dermatology Physician organization in Wickenburg, AZ (NPI 1215559471).
Provider details
- NPI number
- 1215559471
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Rex, Owner(904) 994-4533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2023-11-27
- Certified
- 2020-05-11
Frequently asked questions
- What is Innovative Dermatology Alliance Az, PC's NPI number?
- Innovative Dermatology Alliance Az, PC's National Provider Identifier (NPI) is 1215559471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Dermatology Alliance Az, PC?
- Innovative Dermatology Alliance Az, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Dermatology Alliance Az, PC located?
- Innovative Dermatology Alliance Az, PC's practice location on file with NPPES is 390 Bralliar Rd, Wickenburg, AZ 85390.
- What is Innovative Dermatology Alliance Az, PC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Dermatology Alliance Az, PC is (602) 971-0268.
- Who is the authorized official for Innovative Dermatology Alliance Az, PC?
- The authorized official listed on Innovative Dermatology Alliance Az, PC's NPPES record is Christopher Rex, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Dermatology Alliance Az, PC's NPI active?
- Yes — Innovative Dermatology Alliance Az, PC's NPI (1215559471) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.