DERMATOLOGY CENTER, LLC
NPI 1154486827
Dermatology in Rolla, MO

Active since December 23, 2006CLIA 26D0685777 · Microscopy
10101 STOLTZ DR, ROLLA, MO 65401(573) 364-0122(573) 364-0129 Get Directions Write a Review

NPPES record last updated: May 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Center, Llc NPPES

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

DERMATOLOGY CENTER, LLC (NPI 1154486827) is a healthcare organization registered as a dermatology in Rolla, Missouri and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through December 4, 2026 and lists Joseph M Malters, Owner, as its authorized official.

NPPES Registry Identity

NPI1154486827
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY CENTER, LLC
Location Address10101 STOLTZ DRRolla, MO 65401-7714
Mailing Address10101 Stoltz DrRolla, MO 65401-7714 · (573) 364-0122 · Fax (573) 364-0129
Fax(573) 364-0129
Organization SubpartNo
Authorized OfficialJoseph M MaltersOwner · (573) 364-0122
Enumeration DateDecember 23, 2006
Last NPPES UpdateMay 11, 2019
NPI 1154486827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MO · MO2001027199
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.
10101 STOLTZ DR, Rolla, MO 65401

Other Identifiers 1

Medicaid506121300MO

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

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 for Provider-Performed Microscopy Procedures (PPMP) 26D0685777

Dermatology Center, The · Rolla, MO
Active · expires Dec 4, 2026
CLIA Number26D0685777
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorWilliam V. Stoecker
Laboratory Phone(573) 364-0122
Laboratory LocationDermatology Center, The10101 Stoltz Dr, Rolla, MO 65401
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 2

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

Dermatology
10101 STOLTZ DR
ROLLA, MO 65401
Dermatology
10101 STOLTZ DR
ROLLA, MO 65401

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 Dermatology Center, LLC's NPI number?

The NPI number for Dermatology Center, LLC is 1154486827. It was assigned to this organization in the NPPES registry on December 23, 2006.

Where is Dermatology Center, LLC located?

Dermatology Center, LLC is located at 10101 Stoltz Dr, Rolla, MO 65401. The listed phone number is (573) 364-0122.

What is Dermatology Center, LLC's specialty?

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

Does Dermatology Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0685777) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Dermatology Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Center, LLC was last updated on May 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.