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WESTSIDE DERMATOLOGY, PLLC
NPI 1396862280
Dermatology in Seattle, WA

Active since March 23, 2007CLIA 50D0688427 · Microscopy
4740 44TH AVE SW, SUITE 200, SEATTLE, WA 98116(206) 937-8954(206) 937-1916 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Dermatology, Pllc NPPES

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

WESTSIDE DERMATOLOGY, PLLC (NPI 1396862280) is a healthcare organization registered as a dermatology in Seattle, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Joseph R Erickson, Manager, as its authorized official.

NPPES Registry Identity

NPI1396862280
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTSIDE DERMATOLOGY, PLLC
Location Address4740 44TH AVE SW, SUITE 200Seattle, WA 98116-4402
Mailing Address4740 44th Ave Sw, Suite 200Seattle, WA 98116-4402 · (206) 937-8954 · Fax (206) 937-1916
Phone(206) 937-8954
Fax(206) 937-1916
Organization SubpartNo
Authorized OfficialJoseph R EricksonManager · (206) 937-8954
Enumeration DateMarch 23, 2007
Last NPPES UpdateMarch 30, 2017
✔ NPI 1396862280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · 602335909
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.
4740 44TH AVE SW, Seattle, WA 98116
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Other Identifiers 1

Medicare PINGAB40330WA

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 for Provider-Performed Microscopy Procedures (PPMP) 50D0688427

Westside Dermatology PLLC · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0688427
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKelli R. Arntzen
Laboratory Phone(206) 937-8954
Laboratory LocationWestside Dermatology PLLC4740 44th Avenue SW Suite 200, Seattle, WA 98116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. AMY NICOLE NELSON PA-C
Physician Assistant (Medical)
4740 44TH AVE SW, STE 200
SEATTLE, WA 98116
King County (206) 937-8954
KELLI RENAE ARNTZEN MD
Dermatology
4740 44TH AVE SW, SUITE 200
SEATTLE, WA 98116
King County (206) 937-8954
SONJA M. KREJCI MD
Dermatology
4740 44TH AVE SW, SUITE 200
SEATTLE, WA 98116
King County (206) 937-8954

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 Westside Dermatology, PLLC's NPI number?

The NPI number for Westside Dermatology, PLLC is 1396862280. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Westside Dermatology, PLLC located?

Westside Dermatology, PLLC is located at 4740 44th Ave SW Suite 200, Seattle, WA 98116. The listed phone number is (206) 937-8954.

What is Westside Dermatology, PLLC's specialty?

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

Does Westside Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0688427) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Westside Dermatology, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Westside 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 Westside Dermatology, PLLC was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.