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DESERT DERMATOLOGY, PLLC
NPI 1417673112
Dermatology in Oro Valley, AZ

Active since October 13, 2022CLIA 03D2272999 · Certificate of Compliance
1521 E TANGERINE RD STE 161, ORO VALLEY, AZ 85755(520) 771-0288(520) 771-0289 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Desert Dermatology, Pllc NPPES

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

DESERT DERMATOLOGY, PLLC (NPI 1417673112) is a healthcare organization registered as a dermatology in Oro Valley, Arizona and active in the NPI registry since October 2022. The organization holds a CLIA Certificate of Compliance certificate valid through March 6, 2027 and lists Michelle Goedken, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1417673112
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDESERT DERMATOLOGY, PLLC
Location Address1521 E TANGERINE RD STE 161Oro Valley, AZ 85755-6217
Mailing Address2551 E Calle Sin RuidoTucson, AZ 85718-7337 · (269) 370-0510
Phone(520) 771-0288
Fax(520) 771-0289
Organization SubpartNo
Authorized OfficialMichelle GoedkenOwner/physician · (269) 370-0510
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1417673112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
1521 E TANGERINE RD STE 161, Oro Valley, AZ 85755
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Other Identifiers 1

Medicaid110342AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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 03D2272999

Desert Dermatology PLLC · Oro Valley, AZ
Active · expires Mar 6, 2027
CLIA Number03D2272999
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorMichelle L. Goedken
Laboratory Phone(520) 771-0288
Laboratory LocationDesert Dermatology PLLC1521 E Tangerine Rd Ste 161, Oro Valley, AZ 85755
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

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

DR. MICHELLE LYNN GOEDKEN D.O
Dermatology
1521 E TANGERINE RD STE 161
ORO VALLEY, AZ 85755
Pima County (520) 771-0288

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 Desert Dermatology, PLLC's NPI number?

The NPI number for Desert Dermatology, PLLC is 1417673112. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Desert Dermatology, PLLC located?

Desert Dermatology, PLLC is located at 1521 E Tangerine Rd Ste 161, Oro Valley, AZ 85755. The listed phone number is (520) 771-0288.

What is Desert Dermatology, PLLC's specialty?

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

Does Desert Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2272999) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Dermatology, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Desert 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 Desert Dermatology, PLLC was last updated on October 13, 2022. 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.