DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
NPI 1104378314
Dermatology - MOHS-Micrographic Surgery in Santa Fe, NM
NPI Status: Active since November 04, 2016
Contact Information
2019 GALISTEO STREET
SUITE N-9B
SANTA FE, NM
ZIP 87505
Phone: (505) 980-8738
Fax: (505) 404-8423
- Organization
- Dermatology
- MOHS-Micrographic Surgery
About DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
This page provides the complete NPI Profile along with additional information for Desert Mountain Skin Cancer Surgery, Llc, a provider established in Santa Fe, New Mexico operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1104378314 assigned on November 2016. The practitioner's primary taxonomy code is 207ND0101X with license number MD2011-0829 (NM). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Diane Marie Reisinger M.d. (Physician)
- NPI
- 1104378314
- Provider Name
- DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
- Entity Type
- Organization
- Location Address
- 2019 GALISTEO STREET SUITE N-9B SANTA FE, NM 87505
- Location Phone
- (505) 980-8738
- Location Fax
- (505) 404-8423
- Mailing Address
- PO BOX 604 PLACITAS, NM 87043
- Mailing Phone
- (505) 980-8738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2016
- Last Update Date
- 01-18-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2011-0829
- License State
- NM
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003975699 | MEDICARE PIN (08) | NM | |
| 1003975699 | MEDICARE UPIN (02) | NM | |
| 1003975699 | MEDICAID (05) | NM |
Reviews for DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 3 | 7 | 8 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 6 | 7 | 16 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 6 + 7 + 1 + 6 + 3 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104378314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265947709 | RUBYANN STIEGELMEIER LMT Individual | Massage Therapist | 2019 GALISTEO STREET H2 SANTA FE, NM 87505 (505) 577-6648 |
| 1073520367 | DR. DAVID P DENNEDY-FRANK PH.D. Individual | Psychologist (Clinical) | 2019 GALISTEO STREET SUITE M1A SANTA FE, NM 87505 (505) 988-4131 |
| 1639234883 | DENTAL HYGIENE CARE OF SANTA FE INC Organization | Dental Hygienist | 2019 GALISTEO STREET SUITE O-1 SANTA FE, NM 87505 (505) 995-0595 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104378314, enumerated in the NPI registry as an "organization" on November 04, 2016
The provider is located at 2019 Galisteo Street Suite N-9b Santa Fe, Nm 87505 and the phone number is (505) 980-8738
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 04, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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