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SORA DERMATOLOGY, LLC
NPI 1497520308
Dermatology in Lakewood, CO

Active since November 20, 2023CLIA 06D2299834 · Certificate of Compliance
355 UNION BLVD STE 300, LAKEWOOD, CO 80228(720) 915-5343(720) 615-4812 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Jun 20, 2024, May 3, 2024 and 1 more (4 updates tracked since 2023).

About Sora Dermatology, Llc NPPES

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

SORA DERMATOLOGY, LLC (NPI 1497520308) is a healthcare organization registered as a dermatology in Lakewood, Colorado and active in the NPI registry since November 2023. The organization holds a CLIA Certificate of Compliance certificate valid through August 12, 2027 and lists Jette Hooper, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1497520308
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSORA DERMATOLOGY, LLC
Location Address355 UNION BLVD STE 300Lakewood, CO 80228-1508
Mailing Address355 Union Blvd Ste 300Lakewood, CO 80228-1508 · (720) 915-5343
Phone(720) 915-5343
Fax(720) 615-4812
Organization SubpartNo
Authorized OfficialJette HooperCo-owner · (720) 915-5343
Enumeration DateNovember 20, 2023
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1497520308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
355 UNION BLVD STE 300, Lakewood, CO 80228
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Sora Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sora Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jette Hooper, MD
Dermatology
NPI 1578069530
355 UNION BLVD STE 300
Lakewood, CO 80228
(720) 915-5343
✔ PECOS✔ Accepts MedicareSame address
Kimberly Shao, MD
Dermatology
NPI 1891282547
355 UNION BLVD STE 300
Lakewood, CO 80228
(720) 915-5343
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 06D2299834

Sora Dermatology · Lakewood, CO
Active · expires Aug 12, 2027
CLIA Number06D2299834
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorKimberly Shao
Laboratory Phone(720) 915-5343
Laboratory LocationSora Dermatology355 Union Blvd, Ste 300, Lakewood, CO 80228
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.

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 Sora Dermatology, LLC's NPI number?

The NPI number for Sora Dermatology, LLC is 1497520308. It was assigned to this organization in the NPPES registry on November 20, 2023.

Where is Sora Dermatology, LLC located?

Sora Dermatology, LLC is located at 355 Union Blvd Ste 300, Lakewood, CO 80228. The listed phone number is (720) 915-5343.

What is Sora Dermatology, LLC's specialty?

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

Is Sora Dermatology, LLC enrolled in Medicare?

Yes. Sora Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sora Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Sora Dermatology, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sora Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D2299834) is associated with this NPI, valid through August 12, 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 Sora Dermatology, LLC was last updated on July 3, 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.