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SKIN CANCER AND DERMATOLOGY INSTITUTE
NPI 1003905001
Dermatology - MOHS-Micrographic Surgery in Carson City, NV

Active since October 11, 2006CLIA Certified · 5 labs
3950 GS RICHARDS BLVD, CARSON CITY, NV 89703(775) 882-8777(775) 888-8067 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skin Cancer And Dermatology Institute NPPES

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

SKIN CANCER AND DERMATOLOGY INSTITUTE (NPI 1003905001) is a healthcare organization registered as a mohs-micrographic surgery in Carson City, Nevada and active in the NPI registry since October 2006. The organization holds 5 active CLIA laboratory certificates and lists Lori J Gibbons, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1003905001
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN CANCER AND DERMATOLOGY INSTITUTE
Location Address3950 GS RICHARDS BLVDCarson City, NV 89703-8457
Mailing Address640 W Moana LnReno, NV 89509-4997 · (775) 324-0699 · Fax (775) 888-8067
Phone(775) 882-8777
Fax(775) 888-8067
Organization SubpartNo
Authorized OfficialLori J GibbonsBusiness Manager · (775) 336-3624
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 17, 2012
✔ NPI 1003905001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
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.
3950 GS RICHARDS BLVD, Carson City, NV 89703
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Other Identifiers 1

Medicare ID-Type UnspecifiedWQBGCNV

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

CLIA Laboratory Certificates CMS CLIA 5

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 29D2111686

Skin Cancer & Dermatology Institute- W Moana · Reno, NV
Active · expires Jul 10, 2028
CLIA Number29D2111686
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorKevin L. Kiene
Laboratory Phone(775) 350-7828
Laboratory LocationSkin Cancer & Dermatology Institute- W Moana640 W Moana Ln, Reno, NV 89509
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2258555

Skin Cancer And Dermatology Institute-Monte Vista · Reno, NV
Active · expires Apr 21, 2028
CLIA Number29D2258555
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorKatherine S. Manno
Laboratory Phone(775) 324-0699
Laboratory LocationSkin Cancer And Dermatology Institute-Monte Vista9672 S Mccarran Blvd, Reno, NV 89523
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D0985039

Skin Cancer & Dermatology Institute-Double R · Reno, NV
Active · expires Jan 6, 2028
CLIA Number29D0985039
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorGretchen Korver
Laboratory Phone(775) 324-0699
Laboratory LocationSkin Cancer & Dermatology Institute-Double R10479 Double R Blvd, Reno, NV 89521
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2285330

Skin Cancer & Dermatology Institute · Reno, NV
Active · expires Jul 10, 2027
CLIA Number29D2285330
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorShaundra Eichstadt
Laboratory Phone(775) 324-0699
Laboratory LocationSkin Cancer & Dermatology Institute5419 Reno Corporate Drive, Reno, NV 89511
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 29D2154953

Skin Cancer & Dermatology Institute-Sparks · Sparks, NV
Active · expires Mar 11, 2027
CLIA Number29D2154953
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorJonathan P. Staidle
Laboratory Phone(775) 324-0699
Laboratory LocationSkin Cancer & Dermatology Institute-Sparks4814 Sparks Blvd, Sparks, NV 89436
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURALCARE HEARING CENTERS OF AMERICA, LLC
Clinic/Center (Hearing and Speech)
3950 GS RICHARDS BLVD
CARSON CITY, NV 89703
Carson City (775) 313-9170

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 Skin Cancer And Dermatology Institute's NPI number?

The NPI number for Skin Cancer And Dermatology Institute is 1003905001. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Skin Cancer And Dermatology Institute located?

Skin Cancer And Dermatology Institute is located at 3950 Gs Richards Blvd, Carson City, NV 89703. The listed phone number is (775) 882-8777.

What is Skin Cancer And Dermatology Institute's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Skin Cancer And Dermatology Institute hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Skin Cancer And Dermatology Institute was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.