RADIANT COMPLEXIONS DERMATOLOGY CLINIC
NPI 1083086862
Dermatology in Urbandale, IA
About Radiant Complexions Dermatology Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANT COMPLEXIONS DERMATOLOGY CLINIC (NPI 1083086862) is a healthcare organization registered as a dermatology in Urbandale, Iowa and active in the NPI registry since October 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 21, 2028 and lists Charles Love, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Radiant Complexions Dermatology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Radiant Complexions Dermatology Clinic, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 22Source: 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 16D0864255
Iowa Dermatology Clinic, Plc · West Des Moines, IAFrequently 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 Iowa Dermatology Clinic, Plc's NPI number?
The NPI number for Iowa Dermatology Clinic, Plc is 1083086862. It was assigned to this organization in the NPPES registry on October 20, 2015. The provider is doing business as Radiant Complexions Dermatology Clinic.
Where is Iowa Dermatology Clinic, Plc located?
Iowa Dermatology Clinic, Plc is located at 3729 86th St, Urbandale, IA 50322. The listed phone number is (515) 277-2813.
What is Iowa Dermatology Clinic, Plc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Iowa Dermatology Clinic, Plc enrolled in Medicare?
Yes. Iowa Dermatology Clinic, Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iowa Dermatology Clinic, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 3 Medicare specialties reassign their Medicare billing to Iowa Dermatology Clinic, Plc. 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. The largest specialties are Nurse Practitioner (19), Dermatology (2) and Pathology (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Iowa Dermatology Clinic, Plc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 16D0864255) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Iowa Dermatology Clinic, Plc was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Radiant Complexions Dermatology Clinic · NPI 1083086862
Dermatology organization in Urbandale, Iowa. Organization record, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1083086862 (Entity type: Organization)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Iowa Dermatology Clinic, Plc
- **Organization subpart:** Yes (part of Iowa Dermatology Clinic, Plc)
- **Authorized official:** Charles Love, OWNER
## Practice location
- **Address:** 3729 86TH ST, Urbandale, IA 50322
- **Phone:** (515) 277-2813 · **Fax:** (515) 277-2814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Dermatology (2), Pathology (1); 9 practice within 10 miles; [full list](https://npiprofile.com/npi/1083086862/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083086862) · Data from the CMS NPPES public registry.