NORTHERN ARIZONA DERMATOLOGY CENTER, PC
NPI 1003112327
Dermatology - Procedural Dermatology in Page, AZ

Active since February 03, 2011CLIA 03D0053373 · Certificate of Compliance
501 N NAVAJO, PAGE, AZ 86040(928) 774-5074(928) 779-0884 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northern Arizona Dermatology Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN ARIZONA DERMATOLOGY CENTER, PC (NPI 1003112327) is a healthcare organization registered as a procedural dermatology in Page, Arizona and active in the NPI registry since February 2011. The organization holds a CLIA Certificate of Compliance certificate valid through October 31, 2027 and lists Carl Frederick Bigler, Physician/partner, as its authorized official.

NPPES Registry Identity

NPI1003112327
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameNORTHERN ARIZONA DERMATOLOGY CENTER, PC
Location Address501 N NAVAJOPage, AZ 86040
Mailing AddressPo Box 53327Phoenix, AZ 85072-3327 · (928) 774-5074 · Fax (928) 779-0884
Fax(928) 779-0884
Organization SubpartNo
Authorized OfficialCarl Frederick BiglerPhysician/partner · (928) 774-5074
Enumeration DateFebruary 3, 2011
✔ NPI 1003112327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
501 N NAVAJO, Page, AZ 86040

Other Identifiers 3

Medicare UPINWCHQBAZ
Medicare UPINWCJCFAZ
Medicare UPIN23559AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Arizona Dermatology Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040206000555Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Northern Arizona Dermatology Center, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Dermatology
NPI 1760408785
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1487117867
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1245303718
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1013170695
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1922319334
1490 N TURQUOISE DR
Flagstaff, AZ 86001
(928) 774-5074
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1174729966
297 S WILLARD ST
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare154 mi
Dermatology
NPI 1023338241
297 S WILLARD ST
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare154 mi
Dermatology
NPI 1508814179
450 S WILLARD ST STE 115
Cottonwood, AZ 86326
(928) 639-9596
✔ PECOS✔ Accepts Medicare154 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D0053373

Northern Arizona Dermatology Center PC · Flagstaff, AZ
Active · expires Oct 31, 2027
CLIA Number03D0053373
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorBrendan J. Oneill
Laboratory Phone(928) 774-5074
Laboratory LocationNorthern Arizona Dermatology Center PC1490 Turquoise Drive, Flagstaff, AZ 86001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Arizona Dermatology Center, PC's NPI number?

The NPI number for Northern Arizona Dermatology Center, PC is 1003112327. It was assigned to this organization in the NPPES registry on February 3, 2011.

Where is Northern Arizona Dermatology Center, PC located?

Northern Arizona Dermatology Center, PC is located at 501 N Navajo, Page, AZ 86040. The listed phone number is (928) 774-5074.

What is Northern Arizona Dermatology Center, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Northern Arizona Dermatology Center, PC enrolled in Medicare?

Yes. Northern Arizona Dermatology Center, PC is registered in the Medicare PECOS enrollment system.

When is Northern Arizona Dermatology Center, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northern Arizona Dermatology Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Dermatology, reassign their Medicare billing to Northern Arizona Dermatology Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northern Arizona Dermatology Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0053373) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Arizona Dermatology Center, PC was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.