CENTRAL MISSOURI DERMATOLOGY ASSOC – NPI #1699663849
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

CENTRAL MISSOURI DERMATOLOGY ASSOC is an AHC clinic located in COLUMBIA, MO. NPPES has assigned the NPI number 1699663849 to CENTRAL MISSOURI DERMATOLOGY ASSOC on June 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL MISSOURI DERMATOLOGY ASSOC below.

NPI Profile for
CENTRAL MISSOURI DERMATOLOGY ASSOC

NPI Number
1699663849
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL MISSOURI DERMATOLOGY ASSOC
Primary location
401 N KEENE ST
COLUMBIA, MO 65201-6625
Phone: (573) 876-1616 Fax: (573) 876-1678
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY MARTIN
BILLING MANAGER
Phone: (573) 876-1616
Updated
Certification Date
Jun 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.