DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
NPI 1104378314
Dermatology - MOHS-Micrographic Surgery in Santa Fe, NM

Q: What is Desert Mountain Skin Cancer Surgery, LLC's specialty?

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

Active since November 04, 2016

2019 GALISTEO STREET, SUITE N-9B, SANTA FE, NM 87505(505) 980-8738(505) 404-8423 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2017, Dec 16, 2016, Nov 4, 2016 (3 updates tracked since 2016).

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About Desert Mountain Skin Cancer Surgery, Llc NPPES

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

DESERT MOUNTAIN SKIN CANCER SURGERY, LLC (NPI 1104378314) is a healthcare organization registered as a mohs-micrographic surgery in Santa Fe, New Mexico and active in the NPI registry since November 2016. The organization lists Diane Marie Reisinger, Physician, as its authorized official.

NPPES Registry Identity

NPI1104378314

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDESERT MOUNTAIN SKIN CANCER SURGERY, LLC

Location Address2019 GALISTEO STREET, SUITE N-9BSanta Fe, NM 87505

Mailing AddressPo Box 604Placitas, NM 87043-0604 · (505) 980-8738

Phone(505) 980-8738

Fax(505) 404-8423

Organization SubpartNo

Authorized OfficialDiane Marie ReisingerPhysician · (505) 980-8738

Enumeration DateNovember 4, 2016

Last NPPES UpdateJanuary 18, 20173 updates tracked since enumeration

✔ NPI 1104378314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in NM · MD2011-0829

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.

2019 GALISTEO STREET, Santa Fe, NM 87505

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Other Identifiers 3

Medicare PIN1003975699NM

Medicare UPIN1003975699NM

Medicaid1003975699NM

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

Other Providers at the Same Location NPPES 3

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

DR. DAVID P DENNEDY-FRANK PH.D.

Psychologist (Clinical)

2019 GALISTEO STREET, SUITE M1A
SANTA FE, NM 87505

Santa Fe County (505) 988-4131

RUBYANN STIEGELMEIER LMT

Massage Therapist

2019 GALISTEO STREET, H2
SANTA FE, NM 87505

Santa Fe County (505) 577-6648

DENTAL HYGIENE CARE OF SANTA FE INC

Dental Hygienist

2019 GALISTEO STREET, SUITE O-1
SANTA FE, NM 87505

Santa Fe County (505) 995-0595

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 Desert Mountain Skin Cancer Surgery, LLC's NPI number?

The NPI number for Desert Mountain Skin Cancer Surgery, LLC is 1104378314. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Desert Mountain Skin Cancer Surgery, LLC located?

Desert Mountain Skin Cancer Surgery, LLC is located at 2019 Galisteo Street Suite N-9b, Santa Fe, NM 87505. The listed phone number is (505) 980-8738.

What is Desert Mountain Skin Cancer Surgery, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Desert Mountain Skin Cancer Surgery, LLC was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.