DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC - NPI 1164715884

Q: What is the provider's specialty?

The provider's specialty is Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

About Dermatology And Skin Cancer Consultants, Pllc NPPES

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

DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC (NPI 1164715884) is a mohs-micrographic surgery in Humboldt, Tennessee and active in the NPI registry since May 2011. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2028 and lists Dafnis C. Carranza, Owner, as its authorized official.Information from the official NPPES registry record, last updated May 27, 2011.

NPPES Registry Identity

NPI1164715884

Entity TypeOrganization

Legal Business NameDERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC

Location Address701 MEDICAL PARK DRHumboldt, TN 38343-3034

Mailing Address701 Medical Park DrHumboldt, TN 38343-3034 · (731) 784-4300

Phone(731) 784-4300

Organization SubpartNo

Authorized OfficialDafnis C. CarranzaOwner · (731) 784-4300

Enumeration DateMay 27, 2011

✔ NPI 1164715884 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Dermatology · MOHS-Micrographic Surgery

Taxonomy 207ND0101X · Allopathic & Osteopathic Physicians

✔ Licensed in TN · 43760

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… Show more

701 MEDICAL PARK DR, Humboldt, TN 38343

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Also on File with NPPES

Group Practice1

This 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)

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.