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COLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
NPI 1386241453
Dermatology - MOHS-Micrographic Surgery in Pueblo, CO

Active since October 02, 2020CLIA 06D2187741 · Certificate of Compliance
406 N MAIN ST, PUEBLO, CO 81003(719) 566-0176(719) 566-0177 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 15, 2024, May 3, 2023, Oct 2, 2020 (3 updates tracked since 2020).

About Colorado Springs Dermatology Clinic, P.c. NPPES

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

COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. (NPI 1386241453) is a healthcare organization registered as a mohs-micrographic surgery in Pueblo, Colorado and active in the NPI registry since October 2020. The organization holds a CLIA Certificate of Compliance certificate valid through February 7, 2027 and lists Heather Elizabeth Milenski, Billing Department Manager, as its authorized official.

NPPES Registry Identity

NPI1386241453
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
Location Address406 N MAIN STPueblo, CO 81003-3123
Mailing Address170 S Parkside DrColorado Springs, CO 80910-3129 · (719) 471-1763 · Fax (719) 471-2498
Phone(719) 566-0176
Fax(719) 566-0177
Organization SubpartNo
Authorized OfficialHeather Elizabeth MilenskiBilling Department Manager · (719) 471-1763
Enumeration DateOctober 2, 2020
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1386241453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
406 N MAIN ST, Pueblo, CO 81003
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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

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 06D2187741

Colorado Springs Dermatology Clinic, PC · Colorado Springs, CO
Active · expires Feb 7, 2027
CLIA Number06D2187741
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Kendra W. Tan
Laboratory Phone(719) 471-1763
Laboratory LocationColorado Springs Dermatology Clinic, PC2060 Briargate Parkway, Suite 150, Colorado Springs, CO 80920
CLIA data matches this NPI record on: 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.

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 Colorado Springs Dermatology Clinic, P.C.'s NPI number?

The NPI number for Colorado Springs Dermatology Clinic, P.C. is 1386241453. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Colorado Springs Dermatology Clinic, P.C. located?

Colorado Springs Dermatology Clinic, P.C. is located at 406 N Main St, Pueblo, CO 81003. The listed phone number is (719) 566-0176.

What is Colorado Springs Dermatology Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Colorado Springs Dermatology Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D2187741) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colorado Springs Dermatology Clinic, P.C. was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.