PHOTODERMIC SKIN THERAPY, LLC – Procedural Dermatology Physician, NPI 1982877015

PHOTODERMIC SKIN THERAPY, LLC is a healthcare provider. based in Indianapolis, Indiana. specializing in Procedural Dermatology Physician. The NPI Number for PHOTODERMIC SKIN THERAPY, LLC is 1982877015

Main info

Organization
Name
PHOTODERMIC SKIN THERAPY, LLC
NPI
1982877015
Phone
(317) 926-4687
Address
3833 N MERIDIAN ST STE 10
Authorized Official
DOUG WREGGE OWNER
Enumeration Date
9 April 2008
Last Update Date
9 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for PHOTODERMIC SKIN THERAPY, LLC

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    INDIANAPOLIS, IN 462084001

    Phone: (317) 926-4687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46208)

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Reviews

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Frequently asked questions

How do payers reference PHOTODERMIC SKIN THERAPY, LLC?
For PHOTODERMIC SKIN THERAPY, LLC, use NPI 1982877015 as the unique 10-digit identifier.
Is PHOTODERMIC SKIN THERAPY, LLC still an active registrant?
PHOTODERMIC SKIN THERAPY, LLC carries an active NPI according to the public dataset.
What kind of doctor is PHOTODERMIC SKIN THERAPY, LLC?
PHOTODERMIC SKIN THERAPY, LLC is associated with Procedural Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is PHOTODERMIC SKIN THERAPY, LLC registered?
Use Indianapolis, Indiana as the headline location for PHOTODERMIC SKIN THERAPY, LLC here.
Does PHOTODERMIC SKIN THERAPY, LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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