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FAIRHAVEN DERMATOLOGY, PLLC
NPI 1336693902
Dermatology in Bellingham, WA

Active since August 11, 2016
3105 OLD FAIRHAVEN PKWY, SUITE 101, BELLINGHAM, WA 98225(360) 656-6278(360) 778-1804 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2019, Dec 21, 2017, Aug 30, 2017 and 3 more (6 updates tracked since 2016).

About Fairhaven Dermatology, Pllc NPPES

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

FAIRHAVEN DERMATOLOGY, PLLC (NPI 1336693902) is a healthcare organization registered as a dermatology in Bellingham, Washington and active in the NPI registry since August 2016. The organization lists Thomas J. Langei, Owner, as its authorized official.

NPPES Registry Identity

NPI1336693902
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFAIRHAVEN DERMATOLOGY, PLLC
Location Address3105 OLD FAIRHAVEN PKWY, SUITE 101Bellingham, WA 98225
Mailing Address3105 Old Fairhaven Pkwy, Suite 101Bellingham, WA 98225 · Fax (360) 778-1804
Phone(360) 656-6278
Fax(360) 778-1804
Organization SubpartNo
Authorized OfficialThomas J. LangeiOwner · (360) 927-9042
Enumeration DateAugust 11, 2016
Last NPPES UpdateApril 25, 20196 updates tracked since enumeration
✔ NPI 1336693902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · 603616109
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 603616109 (WA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 603616109 (WA)
3105 OLD FAIRHAVEN PKWY, SUITE 101, Bellingham, WA 98225
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Other Identifiers 1

Medicaid2073078WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairhaven Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairhaven Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Langei, MD
Dermatology
NPI 1528180015
3105 OLD FAIRHAVEN PKWY, SUITE 101
Bellingham, WA 98225
(360) 656-6278
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fairhaven Dermatology, PLLC's NPI number?

The NPI number for Fairhaven Dermatology, PLLC is 1336693902. It was assigned to this organization in the NPPES registry on August 11, 2016.

Where is Fairhaven Dermatology, PLLC located?

Fairhaven Dermatology, PLLC is located at 3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225. The listed phone number is (360) 656-6278.

What is Fairhaven Dermatology, PLLC's specialty?

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

Is Fairhaven Dermatology, PLLC enrolled in Medicare?

Yes. Fairhaven Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairhaven Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Fairhaven Dermatology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairhaven Dermatology, PLLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Fairhaven Dermatology, PLLC 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 Fairhaven Dermatology, PLLC was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.