COUTURE DERMATOLOGY AND PLASTIC SURGERY
NPI 1558618710
Dermatology in Las Vegas, NV

Active since August 07, 2012CLIA 29D2061255 · Certificate of Compliance
9950 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147(702) 998-9001(702) 998-8282 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2022, May 5, 2022, Feb 4, 2022 and 3 more (6 updates tracked since 2016).

About Couture Dermatology And Plastic Surgery NPPES

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

COUTURE DERMATOLOGY AND PLASTIC SURGERY (NPI 1558618710) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since August 2012. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2027 and lists Marvin Douglas Spann, Owner, as its authorized official.

NPPES Registry Identity

NPI1558618710
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARVIN D SPANN MD PLLC
Location Address9950 W FLAMINGO RD STE 105Las Vegas, NV 89147-8555
Mailing AddressPo Box 35914Las Vegas, NV 89133-5914 · (702) 998-9001 · Fax (702) 998-8282
Fax(702) 998-8282
Organization SubpartNo
Authorized OfficialMarvin Douglas SpannOwner · (702) 998-9001
Enumeration DateAugust 7, 2012
Last NPPES UpdateSeptember 18, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1558618710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NV · 13132
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 ListedPlastic SurgeryTaxonomy 208200000X · License 13247 (NV)
9950 W FLAMINGO RD STE 105, Las Vegas, NV 89147

Other Names 1

Doing Business AsCouture Dermatology And Plastic Surgery

Other Identifiers 7

Other1134548456NV · Npi
Other1407044399NV · Npi
Other1972750370NV · Npi
Other1043716251NV · Npi
Other1700964780NV · Npi
Other1972263622NV · Npi
Other1871964676NV · Npi

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)

Couture Dermatology And Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Couture Dermatology And Plastic Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1043716251
9950 W FLAMINGO RD STE 105
Las Vegas, NV 89147
(702) 998-9001
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1700964780
2615 BOX CANYON DR
Las Vegas, NV 89128
(702) 998-8486
✔ PECOS✔ Accepts Medicare7.1 mi
Plastic and Reconstructive Surgery
NPI 1407044399
2615 BOX CANYON DR
Las Vegas, NV 89128
(702) 998-8486
✔ PECOS✔ Accepts Medicare7.1 mi

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 29D2061255

Couture Dermatology And Plastic Surgery · Las Vegas, NV
Active · expires Feb 5, 2027
CLIA Number29D2061255
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorCandace T. Spann
Laboratory Phone(702) 998-9001
Laboratory LocationCouture Dermatology And Plastic Surgery9950 W Flamingo Road, Ste 105, Las Vegas, NV 89147
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 Marvin D Spann MD PLLC's NPI number?

The NPI number for Marvin D Spann MD PLLC is 1558618710. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Couture Dermatology And Plastic Surgery.

Where is Marvin D Spann MD PLLC located?

Marvin D Spann MD PLLC is located at 9950 W Flamingo Rd Ste 105, Las Vegas, NV 89147. The listed phone number is (702) 998-9001.

What is Marvin D Spann MD PLLC's specialty?

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

Is Marvin D Spann MD PLLC enrolled in Medicare?

Yes. Marvin D Spann MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marvin D Spann MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Marvin D Spann MD PLLC, in Dermatology and Plastic and Reconstructive Surgery. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marvin D Spann MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D2061255) is associated with this NPI, valid through February 5, 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 Marvin D Spann MD PLLC was last updated on September 18, 2023. 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.