RADIANT COMPLEXIONS DERMATOLOGY CLINIC
NPI 1639541410
Dermatology in Ankeny, IA
NPI Status: Active since October 20, 2015
Contact Information
1510 SW ORALABOR RD STE C
ANKENY, IA
ZIP 50023
Phone: (515) 964-3467
Fax: (515) 964-3672
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 16D2054679
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-25-2027
About RADIANT COMPLEXIONS DERMATOLOGY CLINIC
This page provides the complete NPI Profile along with additional information for Radiant Complexions Dermatology Clinic, a provider established in Ankeny, Iowa operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1639541410 assigned on October 2015. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 7 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 provider's is doing business as Radiant Complexions Dermatology Clinic. The authorized official of this NPI record is Matthew David Schemmel (Vice President)
- NPI
- 1639541410
- Provider Legal Name
- IOWA DERMATOLOGY CLINIC, PLC
- Other Organization Name
- RADIANT COMPLEXIONS DERMATOLOGY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1510 SW ORALABOR RD STE C ANKENY, IA 50023
- Location Phone
- (515) 964-3467
- Location Fax
- (515) 964-3672
- Mailing Address
- 1510 SW ORALABOR RD SUITE C ANKENY, IA 50023
- Mailing Phone
- (515) 964-3467
- Mailing Fax
- (515) 964-3672
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-20-2015
- Last Update Date
- 06-12-2018
- Code Navigator
A dermatologist like Radiant Complexions Dermatology Clinic is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 16D2054679
- Facility Type
- Physician Office
- Certificate Effective Date
- February 26, 2025
- Certificate Expiration Date
- February 25, 2027
- Laboratory Director
- KATIE L. BROSHUIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Radiant Complexions Dermatology Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for RADIANT COMPLEXIONS DERMATOLOGY CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 6 | 3 | 9 | 5 | 4 | 1 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 4 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 4 + 2 + 4 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639541410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639541410, enumerated in the NPI registry as an "organization" on October 20, 2015
The provider is located at 1510 Sw Oralabor Rd Ste C Ankeny, Ia 50023 and the phone number is (515) 964-3467
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D2054679 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 20, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.