MOUNTAIN WEST DERM - BLACKHART PLLC
NPI 1124670088
Dermatology in Anchorage, AK

Q: What is Mountain West Derm - Blackhart PLLC's NPI number?

The NPI number for Mountain West Derm - Blackhart PLLC is 1124670088. It was assigned to this organization in the NPPES registry on July 11, 2019. The provider is doing business as Alaska Center for Dermatology.

Q: What is Mountain West Derm - Blackhart PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since July 11, 2019CLIA 02D1009028 · Certificate of Compliance

3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508(907) 646-8500 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mountain West Derm - Blackhart Pllc NPPES

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

MOUNTAIN WEST DERM - BLACKHART PLLC (NPI 1124670088), doing business as Alaska Center For Dermatology, is a healthcare organization registered as a dermatology in Anchorage, Alaska and active in the NPI registry since July 2019. The organization holds a CLIA Certificate of Compliance certificate valid through August 12, 2027, maintains a secondary practice location in Anchorage, and lists Bret S Blackhart, Owner, as its authorized official.

NPPES Registry Identity

NPI1124670088

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameMOUNTAIN WEST DERM - BLACKHART PLLC

Location Address3841 PIPER ST STE T4-020Anchorage, AK 99508-4673

Mailing Address3841 Piper St Ste T4-020Anchorage, AK 99508-4673 · (775) 560-8668

Phone(907) 646-8500

Organization SubpartNo

Authorized OfficialBret S BlackhartOwner · (775) 560-8668

Enumeration DateJuly 11, 2019

Last NPPES UpdateAugust 18, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1124670088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

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.

3841 PIPER ST STE T4-020, Anchorage, AK 99508

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Other Names 1

Doing Business AsAlaska Center For Dermatology

Secondary Practice Location 1

Location 1188 W Northern Lights Blvd Ste 800Anchorage, AK 99503-3984 · Phone (907) 646-8500 · Fax (907) 646-8500

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 02D1009028

Mountain West Derm Blackhart PLLC Dba Alaska Center For Dermatology · Anchorage, AK

Active · expires Aug 12, 2027

CLIA Number02D1009028

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2025

Certificate Expiration DateAugust 12, 2027

Laboratory DirectorDr. Peter G. Ehrnstrom

Laboratory Phone(907) 646-8500

Laboratory LocationMountain West Derm Blackhart PLLC Dba Alaska Center For Dermatology188 W Northern Lights Blvd, Ste 800, Anchorage, AK 99503

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 9

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

STEPHANIE ANN MCLEISH M.D.

Dermatology