ALASKA FAMILY DERMATOLOGY, LLC
NPI 1265096010
Dermatology - Pediatric Dermatology in Anchorage, AK
NPI Status: Active since April 26, 2019
Contact Information
3340 PROVIDENCE DR STE A358
ANCHORAGE, AK
ZIP 99508
Phone: (907) 268-2067
Fax: (855) 395-0858
- Organization
- Dermatology
- Pediatric Dermatology
- Accepts Insurance
- CLIA Number: 02D2167469
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-09-2027
About ALASKA FAMILY DERMATOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Alaska Family Dermatology, Llc, a provider established in Anchorage, Alaska operating as a Dermatology, focusing in pediatric dermatology . The healthcare provider is registered in the NPI registry with number 1265096010 assigned on April 2019. The practitioner's primary taxonomy code is 207NP0225X. The provider is registered as an organization and their NPI record was last updated one year 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 Mrs. Gina Marie Brown Md (Owner/dermatologist)
- NPI
- 1265096010
- Provider Name
- ALASKA FAMILY DERMATOLOGY, LLC
- Entity Type
- Organization
- Location Address
- 3340 PROVIDENCE DR STE A358 ANCHORAGE, AK 99508
- Location Phone
- (907) 268-2067
- Location Fax
- (855) 395-0858
- Mailing Address
- 3340 PROVIDENCE DR STE 358 ANCHORAGE, AK 99508
- Mailing Phone
- (907) 268-2067
- Mailing Fax
- (855) 395-0858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-26-2019
- Last Update Date
- 04-18-2025
- Code Navigator
A dermatologist like Alaska Family Dermatology, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology Pediatric Dermatology
- Taxonomy Code
- 207NP0225X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1583538 | MEDICAID (05) | AK |
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
- 02D2167469
- Facility Type
- Physician Office
- Certificate Effective Date
- June 10, 2025
- Certificate Expiration Date
- June 09, 2027
- Laboratory Director
- DR. GINA M. BROWN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Alaska Family Dermatology, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1265096010, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ANCHORAGE, AK 99508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265096010, enumerated as an "organization" on April 26, 2019.
The provider is located at 3340 PROVIDENCE DR STE A358 ANCHORAGE, AK 99508 and the phone number is (907) 268-2067.
Dermatology with taxonomy code 207NP0225X and a focus in Pediatric Dermatology.
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
