EPIPHANY DERMATOLOGY OF COLORADO, LLC
NPI 1194340802
Dermatology in Grand Junction, CO

Active since June 09, 2020
2530 N 8TH ST STE 205, GRAND JUNCTION, CO 81501(970) 245-1500 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2023, Jun 9, 2020 (2 updates tracked since 2020).

About Epiphany Dermatology Of Colorado, Llc NPPES

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

EPIPHANY DERMATOLOGY OF COLORADO, LLC (NPI 1194340802) is a healthcare organization registered as a dermatology in Grand Junction, Colorado and active in the NPI registry since June 2020. The organization lists Gheorghe Pusta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194340802
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF COLORADO, LLC
Location Address2530 N 8TH ST STE 205Grand Junction, CO 81501-8858
Mailing Address7300 Ranch Rd. 2222, Bldg 1, Ste 200Austin, TX 78730 · (512) 628-0465
Organization SubpartNo
Authorized OfficialGheorghe PustaCeo · (512) 960-5760
Enumeration DateJune 9, 2020
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1194340802 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.
2530 N 8TH ST STE 205, Grand Junction, CO 81501

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 of Compliance 06D0519218

Epiphany Dermatology Of Colorado · Grand Junction, CO
Expired · Aug 11, 2026
CLIA Number06D0519218
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Zachary Ingersoll
Laboratory Phone(970) 245-1500
Laboratory LocationEpiphany Dermatology Of Colorado613 25 Rd, Grand Junction, CO 81505
CLIA data matches this NPI record on: 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

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

Dermatology
2530 N 8TH ST STE 205
GRAND JUNCTION, CO 81501

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 Epiphany Dermatology Of Colorado, LLC's NPI number?

The NPI number for Epiphany Dermatology Of Colorado, LLC is 1194340802. It was assigned to this organization in the NPPES registry on June 9, 2020.

Where is Epiphany Dermatology Of Colorado, LLC located?

Epiphany Dermatology Of Colorado, LLC is located at 2530 N 8th St Ste 205, Grand Junction, CO 81501. The listed phone number is (970) 245-1500.

What is Epiphany Dermatology Of Colorado, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Epiphany Dermatology Of Colorado, LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.