ALASKIN DERMATOLOGY LLC
NPI 1790423135
Dermatology in Anchorage, AK
NPI Status: Active since May 25, 2022
Contact Information
12350 INDUSTRY WAY STE 110
ANCHORAGE, AK
ZIP 99515
Phone: (907) 206-9114
Fax: (907) 206-7009
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 02D2262721
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-15-2026
About ALASKIN DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Alaskin Dermatology Llc, a provider established in Anchorage, Alaska operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1790423135 assigned on May 2022. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Kimberly Kinnebrew Pa-c (Owner)
- NPI
- 1790423135
- Provider Name
- ALASKIN DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515
- Location Phone
- (907) 206-9114
- Location Fax
- (907) 206-7009
- Mailing Address
- 1120 HUFFMAN RD STE 24-591 ANCHORAGE, AK 99515
- Mailing Phone
- (907) 206-9114
- Mailing Fax
- (907) 206-7009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-25-2022
- Last Update Date
- 05-25-2022
- Code Navigator
A dermatologist like Alaskin Dermatology Llc 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*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
- 02D2262721
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 16, 2024
- Certificate Expiration Date
- June 15, 2026
- Laboratory Director
- KIMBERLY KINNEBREW
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Alaskin Dermatology Llc 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.
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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 | 9 | 0 | 4 | 2 | 3 | 1 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 8 | 2 | 6 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 8 + 2 + 6 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1790423135 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548885163 | VANESSA CARLSON ATC Individual | Specialist/Technologist (Athletic Trainer) | 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515 (907) 336-3145 |
| 1720672173 | ANCHORAGE FRACTURE AND ORTHOPAEDIC CLINIC, PC Organization | Durable Medical Equipment & Medical Supplies | 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515 (907) 336-3145 |
| 1437186889 | KIMBERLY JOY KINNEBREW PA-C Individual | Physician Assistant (Medical) | 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515 (907) 206-9114 |
| 1477251189 | MEDICAL NETWORK OF ALASKA, LLC Organization | Orthopaedic Surgery | 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515 (907) 336-3145 |
| 1780629238 | HEATHER K COLBERG PT Individual | Physical Therapist | 12350 INDUSTRY WAY STE 110 ANCHORAGE, AK 99515 (907) 336-3145 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790423135, enumerated in the NPI registry as an "organization" on May 25, 2022
The provider is located at 12350 Industry Way Ste 110 Anchorage, Ak 99515 and the phone number is (907) 206-9114
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 02D2262721 for a "practitioner other" 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 May 25, 2022. 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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