SKIN PC
NPI 1447629886
Dermatology - MOHS-Micrographic Surgery in Boulder, CO

Q: What is Skin PC's NPI number?

The NPI number for Skin PC is 1447629886. It was assigned to this organization in the NPPES registry on September 16, 2015.

Q: What is Skin PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Skin PC was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 16, 2015

905 ALPINE AVE, BOULDER, CO 80304(970) 667-3116(970) 669-0159 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2020, Nov 5, 2020, Jan 12, 2016 (3 updates tracked since 2016).

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About Skin Pc NPPES

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

SKIN PC (NPI 1447629886) is a healthcare organization registered as a mohs-micrographic surgery in Boulder, Colorado and active in the NPI registry since September 2015. The organization lists Kevin J Mott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447629886

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSKIN PC

Location Address905 ALPINE AVEBoulder, CO 80304-3305

Mailing AddressPo Box 7065Loveland, CO 80537-0065 · (970) 663-2742 · Fax (970) 342-2093

Phone(970) 667-3116

Fax(970) 669-0159

Organization SubpartNo

Authorized OfficialKevin J MottCeo · (303) 569-7700

Enumeration DateSeptember 16, 2015

Last NPPES UpdateDecember 17, 20203 updates tracked since enumeration

NPPES CertifiedDecember 17, 2020

✔ NPI 1447629886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in CO · DR.0053082

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

905 ALPINE AVE, Boulder, CO 80304

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Group Practice 2

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

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

Other Providers at the Same Location NPPES 7

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

ALPINE MEDICAL IMAGING LLC

Clinic/Center (Radiology)