White Pebble Dermatology, LLC
NPI 1881391670ActiveOrganization· Dermatology· Columbia, MD
Dermatology in Columbia, Maryland, registered in NPPES in February 2023. The authorized official on file is Junnan Chen, PA, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881391670 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2023 |
| Last updated in NPPES | Oct 31, 2026 |
| Certified by provider | Oct 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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