ARIZONA DESERT DERMATOLOGY AND SURGERY PC
NPI 1386702546
Dermatology in Kingman, AZ

Active since December 04, 2006
1700 SYCAMORE AVENUE, KINGMAN, AZ 86409(928) 692-8885(928) 692-8888 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Arizona Desert Dermatology And Surgery Pc NPPES

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

ARIZONA DESERT DERMATOLOGY AND SURGERY PC (NPI 1386702546) is a healthcare organization registered as a dermatology in Kingman, Arizona and active in the NPI registry since December 2006. The organization lists Don Arlan Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1386702546
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA DESERT DERMATOLOGY AND SURGERY PC
Location Address1700 SYCAMORE AVENUEKingman, AZ 86409
Mailing Address1700 Sycamore AvenueKingman, AZ 86409 · (928) 692-8885 · Fax (928) 692-8888
Fax(928) 692-8888
Organization SubpartNo
Authorized OfficialDon Arlan AndersonPresident · (928) 692-8885
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1386702546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1700 SYCAMORE AVENUE, Kingman, AZ 86409

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arizona Desert Dermatology And Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Arizona Desert Dermatology And Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology7
Nurse Practitioner5

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1487807848
1739 E BEVERLY AVE SUITE 106
Kingman, AZ 86409
(928) 757-3133
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1609751403
5236 N VALLE DORADO
Kingman, AZ 86409
(928) 727-0106
✔ PECOS✔ Accepts Medicare3.8 mi
Dermatology
NPI 1265501779
3015 HIGHWAY 95 #110
Bullhead City, AZ 86442
(928) 758-8885
✔ PECOS✔ Accepts Medicare33 mi
Dermatology
NPI 1972861326
3015 HWAY 95 SUITE 110
Bullhead City, AZ 86442
(928) 758-8885
✔ PECOS✔ Accepts Medicare33 mi
Dermatology
NPI 1437849429
3015 HWAY 95 STE 110
Bullhead City, AZ 86442
(928) 758-8885
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1447631908
2091 SMOKETREE AVE N STE 103
Lake Havasu City, AZ 86403
(928) 453-3332
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1346047339
2091 SMOKETREE AVE N STE 103
Lake Havasu City, AZ 86403
(928) 453-3332
✔ PECOS✔ Accepts Medicare54 mi
Dermatology
NPI 1710056221
2061 SMOKETREE AVENUE
Lake Havasu City, AZ 86403
(928) 453-3332
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1992285605
2650 N TENAYA WAY STE 208
Las Vegas, NV 89128
(702) 360-2100
✔ PECOS✔ Accepts Medicare96 mi
Dermatology
NPI 1053459867
SANTA MARGARITA
Camp Penleton, CA 92055
(760) 725-1288
✔ PECOS✔ Accepts Medicare222 mi
Dermatology
NPI 1770634909
114 EAST 800 NORTH
Spanish Fork, UT 84660
(801) 794-1490
✔ PECOS✔ Accepts Medicare362 mi
Dermatology
NPI 1134198807
78 EAST 900 NORTH
Spanish Fork, UT 84660
(801) 794-1490
✔ PECOS✔ Accepts Medicare362 mi

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 Arizona Desert Dermatology And Surgery PC's NPI number?

The NPI number for Arizona Desert Dermatology And Surgery PC is 1386702546. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Arizona Desert Dermatology And Surgery PC located?

Arizona Desert Dermatology And Surgery PC is located at 1700 Sycamore Avenue, Kingman, AZ 86409. The listed phone number is (928) 692-8885.

What is Arizona Desert Dermatology And Surgery PC's specialty?

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

Is Arizona Desert Dermatology And Surgery PC enrolled in Medicare?

Yes. Arizona Desert Dermatology And Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Desert Dermatology And Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Arizona Desert Dermatology And Surgery PC. 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. The largest specialties are Dermatology (7) and Nurse Practitioner (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arizona Desert Dermatology And Surgery PC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.