DERMATOLOGY SPECIALISTS OF BOULDER, PC – NPI #1053449306
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

DERMATOLOGY SPECIALISTS OF BOULDER, PC is a dermatologist located in LOUISVILLE, CO. NPPES has assigned the NPI number 1053449306 to DERMATOLOGY SPECIALISTS OF BOULDER, PC on March 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Nov 14, 2024. 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 DERMATOLOGY SPECIALISTS OF BOULDER, PC below.

NPI Profile for
DERMATOLOGY SPECIALISTS OF BOULDER, PC

NPI Number
1053449306
Enumeration Date

(more than 19 years 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
DERMATOLOGY SPECIALISTS OF BOULDER, PC
Primary location
1056 S 88TH ST
LOUISVILLE, CO 80027-9460
Phone: (303) 442-6647 Fax: (303) 442-2696
5 Other location(s):
2880 Folsom St
Suite #200
Boulder, CO 80304-3739
Phone: (303) 442-6647
36 S 18th Ave Ste H
Brighton, CO 80601-2452
Phone: (303) 442-6647
Fax: (303) 442-2696
776 W Eisenhower Blvd
Loveland, CO 80537-3157
Phone: (303) 442-6647
11990 Grant St Ste 300
Northglenn, CO 80233-1135
Phone: (303) 442-6647
Fax: (303) 442-2696
905 W 124th Ave Ste 170
Westminster, CO 80234-1716
Phone: (303) 442-6647
Fax: (303) 442-2696
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAWN ALLEN
PRESIDENT
Phone: (303) 442-6647
Updated
Certification Date
Nov 14, 2024

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.

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.