SKIN PC
NPI 1447629886
Dermatology - MOHS-Micrographic Surgery in Boulder, CO
NPI Status: Active since September 16, 2015
Contact Information
905 ALPINE AVE
BOULDER, CO
ZIP 80304
Phone: (970) 667-3116
Fax: (970) 669-0159
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- CLIA Number: 06D2099836
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-27-2026
About SKIN PC
This page provides the complete NPI Profile along with additional information for Skin Pc, a provider established in Boulder, Colorado operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1447629886 assigned on September 2015. The practitioner's primary taxonomy code is 207ND0101X with license number DR.0053082 (CO). The provider is registered as an organization and their NPI record was last updated 5 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 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 Kevin J Mott Md (Ceo)
- NPI
- 1447629886
- Provider Name
- SKIN PC
- Entity Type
- Organization
- Location Address
- 905 ALPINE AVE BOULDER, CO 80304
- Location Phone
- (970) 667-3116
- Location Fax
- (970) 669-0159
- Mailing Address
- PO BOX 7065 LOVELAND, CO 80537
- Mailing Phone
- (970) 663-2742
- Mailing Fax
- (970) 669-0159
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2015
- Last Update Date
- 12-17-2020
- 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.
- DR.0053082
- License State
- CO
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2099836
- Facility Type
- Physician Office
- Certificate Effective Date
- January 28, 2024
- Certificate Expiration Date
- January 27, 2026
- Laboratory Director
- KEVIN J. MOTT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Skin Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 4 | 4 | 7 | 6 | 2 | 9 | 8 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 12 | 2 | 18 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 2 + 2 + 1 + 8 + 8 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1447629886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275722621 | CK LEASING, LLC Organization | Clinic/Center (Ambulatory Surgical) | 905 ALPINE AVE BOULDER, CO 80304 (303) 448-4620 |
| 1154563807 | BOULDER CANCER CENTER, LLC Organization | Radiology (Radiation Oncology) | 905 ALPINE AVE BOULDER, CO 80304 (303) 448-4620 |
| 1144462839 | ALPINE MEDICAL IMAGING LLC Organization | Clinic/Center (Radiology) | 905 ALPINE AVE BOULDER, CO 80304 (303) 884-7990 |
| 1831331511 | ALPINE RS LLC Organization | Clinic/Center (Oncology, Radiation) | 905 ALPINE AVE BOULDER, CO 80304 (303) 884-7990 |
| 1386886067 | ALPINE CANCER CARE LLC Organization | Clinic/Center (Oncology, Radiation) | 905 ALPINE AVE BOULDER, CO 80304 (303) 884-7990 |
| 1952497646 | BROOKE W LEWIS PA-C Individual | Physician Assistant | 905 ALPINE AVE BOULDER, CO 80304 (303) 569-8560 |
| 1548729791 | HANNA K FLATEN MD Individual | Dermatology | 905 ALPINE AVE BOULDER, CO 80304 (970) 667-3116 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447629886, enumerated in the NPI registry as an "organization" on September 16, 2015
The provider is located at 905 Alpine Ave Boulder, Co 80304 and the phone number is (970) 667-3116
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider's CLIA number is 06D2099836 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 16, 2015. 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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