FRONTIER DERMATOLOGY
NPI 1770800930
Clinical Medical Laboratory in Salem, OR
NPI Status: Active since April 28, 2010
Contact Information
1793 13TH ST SE
SALEM, OR
ZIP 97302
Phone: (503) 362-8385
Fax: (503) 362-8435
- Organization
- Clinical Medical Laboratory
- CLIA Number: 38D2018422
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-28-2027
About FRONTIER DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Frontier Dermatology, a provider established in Salem, Oregon operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1770800930 assigned on April 2010. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Frontier Dermatology. The authorized official of this NPI record is Malissa Kobbevik (Credentialing Manager)
- NPI
- 1770800930
- Provider Legal Name
- SILVER FALLS DERMATOLOGY, LLC
- Other Organization Name
- FRONTIER DERMATOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1793 13TH ST SE SALEM, OR 97302
- Location Phone
- (503) 362-8385
- Location Fax
- (503) 362-8435
- Mailing Address
- 1793 13TH ST SE SALEM, OR 97302
- Mailing Phone
- (503) 362-8385
- Mailing Fax
- (503) 362-8435
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2010
- Last Update Date
- 10-17-2024
- Code Navigator
Establishments like Frontier Dermatology are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
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
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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 | 207KI0005X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207NI0002X | Allopathic & Osteopathic Physicians | Dermatology |
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
- 38D2018422
- Facility Type
- Physician Office
- Certificate Effective Date
- April 29, 2025
- Certificate Expiration Date
- April 28, 2027
- Laboratory Director
- DR. WILLIAM LEAR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Frontier Dermatology 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 | 7 | 7 | 0 | 8 | 0 | 0 | 9 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 16 | 0 | 0 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 6 + 0 + 0 + 9 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770800930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255369765 | MR. MARK D. WILLIAMS PA-C Individual | Physician Assistant | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1558553115 | WILLIAM LEAR MD Individual | Dermatology (MOHS-Micrographic Surgery) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1841638319 | MARGARET FAWN ROSS ARNP Individual | Nurse Practitioner | 1793 13TH ST SE SILVER FALLS DERMATOLOGY SALEM, OR 97302 (503) 362-8385 |
| 1366876724 | LISA RENE PETERS NP-C Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1639568496 | MRS. KELLI FARM NP Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1710123054 | SANDRA MICHAL HADENFELD ARNP, MN, FNP-C Individual | Nurse Practitioner | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1063763472 | MRS. DEBORAH PREKKER JONES FNP-C Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1497270268 | JENNIFER ROBIN SMITH FNP Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (866) 599-3376 |
| 1760429781 | JAMES M SWEET M.D. Individual | Internal Medicine (Allergy & Immunology) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1346610201 | CHARITY CAPURAS Individual | Nurse Practitioner (Gerontology) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1265999338 | BROLIN JOHNSON PA Individual | Physician Assistant (Medical) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1730519547 | MS. TERRY LYNN ROMANINI APRN Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1225532211 | LAUREN GENE WILLIAMS FNP Individual | Nurse Practitioner | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1689275042 | LINDSAY RAE FRY FNP Individual | Nurse Practitioner (Family) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1144285529 | DR. RUSSELL JOHN YOUNG MD Individual | Dermatology | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1366977027 | LACEY ROYBAL D.O. Individual | Dermatology | 1793 13TH ST SE SALEM, OR 97302 (866) 599-3376 |
| 1699352716 | DR. SAMEEHA SHAHEEN HUSAYN DO Individual | Student in an Organized Health Care Education/Training Program | 1793 13TH ST SE SALEM, OR 97302 (866) 599-3376 |
| 1104990175 | DR. RICK DEWITT PITTMAN MD Individual | Surgery (Vascular Surgery) | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
| 1164489282 | DR. JACQUES MICHAEL CASPARIAN M.D. Individual | Dermatology | 1793 13TH ST SE SALEM, OR 97302 (503) 362-8385 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770800930, enumerated in the NPI registry as an "organization" on April 28, 2010
The provider is located at 1793 13th St Se Salem, Or 97302 and the phone number is (503) 362-8385
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider's CLIA number is 38D2018422 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 April 28, 2010. 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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