Trident Dermatology, PA
NPI 1366404659 · Dermatology Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trident Dermatology, PA is a Dermatology Physician organization in Charleston, SC (NPI 1366404659).
Provider details
- NPI number
- 1366404659
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Guinn, Practice Manager(843) 797-3960
- License
- 10773 (SC)
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
20 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
Other names (DBA / former)
- Doing business as
- Trident Dermatology
- Doing business as
- Trident Dermatology
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Frequently asked questions
- What is Trident Dermatology, PA's NPI number?
- Trident Dermatology, PA's National Provider Identifier (NPI) is 1366404659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Dermatology, PA?
- Trident Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Trident Dermatology, PA located?
- Trident Dermatology, PA's practice location on file with NPPES is 9295 Medical Plaza Dr, Charleston, SC 29406-9137.
- What is Trident Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Trident Dermatology, PA is (843) 797-3960.
- Does Trident Dermatology, PA accept Medicare?
- Trident Dermatology, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Trident Dermatology, PA?
- The authorized official listed on Trident Dermatology, PA's NPPES record is Blake Guinn, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Dermatology, PA's NPI active?
- Yes — Trident Dermatology, PA's NPI (1366404659) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.