ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC
NPI 1306270905
Dermatology - Procedural Dermatology in Seattle, WA

NPI Status: Active since August 30, 2013

Contact Information

4915 25TH AVE NE STE 207W
SEATTLE, WA
ZIP 98105
Phone: (206) 962-0480

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • Accepts Insurance
  • CLIA Number: 50D2062890
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC

This page provides the complete NPI Profile along with additional information for Advanced Dermatology And Laser Institute Of Seattle Pllc, a provider established in Seattle, Washington operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1306270905 assigned on August 2013. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 2 years 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 Steven Greene Md (Owner)

NPI
1306270905
Provider Name
ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC
Entity Type
Organization
Location Address
4915 25TH AVE NE STE 207W SEATTLE, WA 98105
Location Phone
(206) 962-0480
Mailing Address
PO BOX 66596 SEATTLE, WA 98166
Mailing Phone
(206) 402-4797
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2013
Last Update Date
09-27-2024
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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 Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

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:

  • 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

STEVEN GREENE MD

Authorized Official Title
OWNER
Authorized Official Phone
(206) 402-4797

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
50D2062890
Facility Type
Physician Office
Certificate Effective Date
July 23, 2013
Certificate Expiration Date
April 04, 2028
Laboratory Director
STEVEN L. GREENE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Advanced Dermatology And Laser Institute Of Seattle Pllc 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 1306270905, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 2 → 4 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 4 + 7 + 0 + 9 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306270905.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology
4915 25TH AVE NE STE 207W
SEATTLE, WA 98105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306270905, enumerated as an "organization" on August 30, 2013.

The provider is located at 4915 25TH AVE NE STE 207W SEATTLE, WA 98105 and the phone number is (206) 962-0480.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.