CLEAR SKY DERMATOLOGY LLC
NPI 1306369996
Dermatology in Goodyear, AZ

Active since July 25, 2017CLIA 03D2137548 · Certificate of Compliance
2620 N 140TH AVE STE 103, GOODYEAR, AZ 85395(623) 219-4777 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2023, Jul 25, 2017 (2 updates tracked since 2017).

About Clear Sky Dermatology Llc NPPES

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

CLEAR SKY DERMATOLOGY LLC (NPI 1306369996) is a healthcare organization registered as a dermatology in Goodyear, Arizona and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2026 and lists Kevin Svancara, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1306369996
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEAR SKY DERMATOLOGY LLC
Location Address2620 N 140TH AVE STE 103Goodyear, AZ 85395-2437
Mailing Address17620 W Columbine DrSurprise, AZ 85388-5623 · (623) 853-3762
Organization SubpartNo
Authorized OfficialKevin SvancaraOwner/physician · (623) 853-3762
Enumeration DateJuly 25, 2017
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1306369996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 006549
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.
2620 N 140TH AVE STE 103, Goodyear, AZ 85395

Other Identifiers 1

Other006549AZ · Medical License Number

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

Accepted Insurance

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 03D2137548

Clear Sky Dermatology LLC · Goodyear, AZ
Active · expires Dec 11, 2026
CLIA Number03D2137548
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorKevin L. Svancara
Laboratory Phone(623) 219-4777
Laboratory LocationClear Sky Dermatology LLC2620 N 140th Ave Ste 103, Goodyear, AZ 85395
CLIA data matches this NPI record on: Address 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 2

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

Nurse Practitioner (Family)
2620 N 140TH AVE STE 103
GOODYEAR, AZ 85395
Physician Assistant
2620 N 140TH AVE STE 103
GOODYEAR, AZ 85395

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 Clear Sky Dermatology LLC's NPI number?

The NPI number for Clear Sky Dermatology LLC is 1306369996. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is Clear Sky Dermatology LLC located?

Clear Sky Dermatology LLC is located at 2620 N 140th Ave Ste 103, Goodyear, AZ 85395. The listed phone number is (623) 219-4777.

What is Clear Sky Dermatology LLC's specialty?

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

Does Clear Sky Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2137548) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clear Sky Dermatology LLC accept?

Health plans from Ambetter from Arizona Complete Health list Clear Sky Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clear Sky Dermatology LLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.