DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
NPI 1164715884
Dermatology - MOHS-Micrographic Surgery in Humboldt, TN

NPI Status: Active since May 27, 2011

Contact Information

701 MEDICAL PARK DR
HUMBOLDT, TN
ZIP 38343
Phone: (731) 784-4300

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 44D2171640
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-04-2028

About DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC

This page provides the complete NPI Profile along with additional information for Dermatology And Skin Cancer Consultants, Pllc, a provider established in Humboldt, Tennessee operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1164715884 assigned on May 2011. The practitioner's primary taxonomy code is 207ND0101X with license number 43760 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dafnis C. Carranza Md (Owner)

NPI
1164715884
Provider Name
DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
Entity Type
Organization
Location Address
701 MEDICAL PARK DR HUMBOLDT, TN 38343
Location Phone
(731) 784-4300
Mailing Address
701 MEDICAL PARK DR HUMBOLDT, TN 38343
Mailing Phone
(731) 784-4300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2011
Last Update Date
05-27-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
43760
License State
TN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAFNIS C. CARRANZA MD

Authorized Official Title
OWNER
Authorized Official Phone
(731) 784-4300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2171640
Facility Type
Physician Office
Certificate Effective Date
February 05, 2026
Certificate Expiration Date
February 04, 2028
Laboratory Director
DR. DAFNIS C. CARRANZA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dermatology And Skin Cancer Consultants, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164715884, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 1 + 1 + 0 + 8 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164715884.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dermatology (MOHS-Micrographic Surgery)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Nurse Practitioner
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Nurse Practitioner (Family)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Physician Assistant (Medical)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164715884, enumerated as an "organization" on May 27, 2011.

The provider is located at 701 MEDICAL PARK DR HUMBOLDT, TN 38343 and the phone number is (731) 784-4300.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.