SOUTHERN COLORADO DERMATOLOGY CLINIC PC
NPI 1548409139
Dermatology in Pueblo, CO

Active since February 05, 2009
900 INDIANA AVE STE C, PUEBLO, CO 81004(719) 564-5544(719) 564-2246 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Colorado Dermatology Clinic Pc NPPES

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

SOUTHERN COLORADO DERMATOLOGY CLINIC PC (NPI 1548409139) is a healthcare organization registered as a dermatology in Pueblo, Colorado and active in the NPI registry since February 2009. The organization lists Krystal Jean Nakamura, Owner, as its authorized official.

NPPES Registry Identity

NPI1548409139
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHERN COLORADO DERMATOLOGY CLINIC PC
Location Address900 INDIANA AVE STE CPueblo, CO 81004-3767
Mailing Address900 Indiana Ave Ste CPueblo, CO 81004-3767 · (719) 564-5544
Fax(719) 564-2246
Organization SubpartNo
Authorized OfficialKrystal Jean NakamuraOwner · (719) 564-5544
Enumeration DateFebruary 5, 2009
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1548409139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CO · 44146
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.
900 INDIANA AVE STE C, Pueblo, CO 81004

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

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
900 INDIANA AVE STE C
PUEBLO, CO 81004
Allergy & Immunology (Allergy)
900 INDIANA AVE STE C
PUEBLO, CO 81004

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 Southern Colorado Dermatology Clinic PC's NPI number?

The NPI number for Southern Colorado Dermatology Clinic PC is 1548409139. It was assigned to this organization in the NPPES registry on February 5, 2009.

Where is Southern Colorado Dermatology Clinic PC located?

Southern Colorado Dermatology Clinic PC is located at 900 Indiana Ave Ste C, Pueblo, CO 81004. The listed phone number is (719) 564-5544.

What is Southern Colorado Dermatology Clinic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Colorado Dermatology Clinic PC was last updated on May 25, 2021. 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.