DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC
NPI 1215157029
Specialist in Steamboat Springs, CO

NPI Status: Active since April 26, 2007

Contact Information

940 CENTRAL PARK DR
SUITE 210
STEAMBOAT SPRINGS, CO
ZIP 80487
Phone: (970) 871-4811
Fax: (970) 879-4527

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Specialist
CLIA Number: 06D0965887
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-21-2026

About DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC

This page provides the complete NPI Profile along with additional information for Dermatology Center Of Steamboat Springs, Llc A Professional Llc, a provider established in Steamboat Springs, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1215157029 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 36567 (CO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sandra L Eivins M.d. (Owner)

NPI: 1215157029
Provider Name: DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC
Entity Type: Organization
Location Address: 940 CENTRAL PARK DR SUITE 210 STEAMBOAT SPRINGS, CO 80487
Location Phone: (970) 871-4811
Location Fax: (970) 879-4527
Mailing Address: 940 CENTRAL PARK DR SUITE 210 STEAMBOAT SPRINGS, CO 80487
Mailing Phone: (970) 871-4811
Mailing Fax: (970) 879-4527
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-26-2007
Last Update Date: 09-10-2013
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Location Map

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: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
License No.: 36567
License State: CO
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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: SANDRA L EIVINS M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (970) 871-4811

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: 06D0965887
Facility Type: Physician Office
Certificate Effective Date: February 22, 2024
Certificate Expiration Date: February 21, 2026
Laboratory Director: DR. SANDRA L. ZILA-EIVINS
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Dermatology Center Of Steamboat Springs, Llc A Professional Llc 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	1	5	7	0	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	2	5	14	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 5 + 1 + 4 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1215157029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

SANDRA L ZILA-EIVINS M.D.

Specialist

940 CENTRAL PARK DR
STE 210
STEAMBOAT SPRINGS, CO
ZIP 80487

About DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC

Location Map

Specialty - Primary Taxonomy

Specialist

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

SANDRA L EIVINS M.D.

CLIA Information

Reviews for DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC's NPI number?

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What is the provider's specialty?