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WESTERN DERMATOLOGY CONSULTANTS PC
NPI 1174653299
Dermatology - MOHS-Micrographic Surgery in Albuquerque, NM

Active since March 07, 2007CLIA 32D0941746 · Microscopy
10151 MONTGOMERY BLVD NE, BLDG. 1 STE. A, ALBUQUERQUE, NM 87111(505) 855-5503 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Dermatology Consultants Pc NPPES

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

WESTERN DERMATOLOGY CONSULTANTS PC (NPI 1174653299) is a healthcare organization registered as a mohs-micrographic surgery in Albuquerque, New Mexico and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 9, 2027 and lists Leslie Glass, President, as its authorized official.

NPPES Registry Identity

NPI1174653299
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameWESTERN DERMATOLOGY CONSULTANTS PC
Location Address10151 MONTGOMERY BLVD NE, BLDG. 1 STE. AAlbuquerque, NM 87111-3670
Mailing Address10151 Montgomery Ne Bldg. 1, Ste. AAlbuquerque, NM 87111 · (505) 855-5503 · Fax (505) 855-5533
Phone(505) 855-5503
Organization SubpartNo
Authorized OfficialLeslie GlassPresident · (505) 855-5503
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 6, 2008
✔ NPI 1174653299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
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.
10151 MONTGOMERY BLVD NE, Albuquerque, NM 87111
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Other Identifiers 1

MedicaidP6441NM

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

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) 32D0941746

Western Dermatology Consultants PC · Albuquerque, NM
Active · expires Mar 9, 2027
CLIA Number32D0941746
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorBarbara L. Einhom
Laboratory Phone(505) 855-5503
Laboratory LocationWestern Dermatology Consultants PC10151 Montgomery NE 1A, Albuquerque, NM 87111
CLIA data matches this NPI record on: 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 13

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

DR. RYAN PAUL SAVAGE D.D.S.
Dentist
10151 MONTGOMERY BLVD NE, SUITE 2B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 830-3636
STEVEN ROHOLT DDS
Dentist (Oral and Maxillofacial Surgery)
10151 MONTGOMERY BLVD NE, SUITE 2-D
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-3400
DR. BRETT DOUGLAS SCHOW DDS
Dentist (Oral and Maxillofacial Surgery)
10151 MONTGOMERY BLVD NE, BUILDING 2 SUITE D
ALBUQUERQUE, NM 87111
Bernalillo County (801) 391-1314
DR. TRAVIS C. RUDD DDS
Dentist (Oral and Maxillofacial Surgery)
10151 MONTGOMERY BLVD NE, SUITE 2D
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-3400
DR. STEPHEN D JENKINS DDS
Dentist (Endodontics)
10151 MONTGOMERY BLVD NE, SUITE - 2B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 830-3636
SEYED AMIRALI SHOKROLLAHI DDS
Dentist (General Practice)
10151 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87111
Bernalillo County (505) 275-1663
STEVEN B. ROHOLT, DDS, PC
Dentist (Oral and Maxillofacial Surgery)
10151 MONTGOMERY BLVD NE, SUITE 2-D
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-3400
KENNETH ELLIS BRAY DMD
Dentist (Endodontics)
10151 MONTGOMERY BLVD NE, BLDG. 2 SUITE B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 830-3636

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 Western Dermatology Consultants PC's NPI number?

The NPI number for Western Dermatology Consultants PC is 1174653299. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Western Dermatology Consultants PC located?

Western Dermatology Consultants PC is located at 10151 Montgomery Blvd NE Bldg. 1 Ste. A, Albuquerque, NM 87111. The listed phone number is (505) 855-5503.

What is Western Dermatology Consultants PC's specialty?

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

Does Western Dermatology Consultants PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0941746) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Western Dermatology Consultants PC was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.