Healthcare Provider Details

I. General information

NPI: 1881560712
Provider Name (Legal Business Name): SSS SKINCARE AND WELLNESS, LLC DBA SKINSATIONMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4337 E MAIN ST STE 201
FARMINGTON NM
87402-8634
US

IV. Provider business mailing address

4337 E MAIN ST STE 201
FARMINGTON NM
87402-8634
US

V. Phone/Fax

Practice location:
  • Phone: 505-325-1234
  • Fax: 505-258-4302
Mailing address:
  • Phone: 505-325-1234
  • Fax: 505-258-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERMANN SINGLETON
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 505-793-6112