CROSSROADS DERMATOLOGY LLC
NPI 1558853846
Dermatology in Longmont, CO

Active since June 01, 2018CLIA 06D2244639 · Waiver
2350 17TH AVE STE 100, LONGMONT, CO 80503(720) 204-3376 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018 (2 updates tracked since 2018).

About Crossroads Dermatology Llc NPPES

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

CROSSROADS DERMATOLOGY LLC (NPI 1558853846) is a healthcare organization registered as a dermatology in Longmont, Colorado and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Sarah Marie Bair, Member, as its authorized official.

NPPES Registry Identity

NPI1558853846
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCROSSROADS DERMATOLOGY LLC
Location Address2350 17TH AVE STE 100Longmont, CO 80503-1738
Mailing Address1610 Turin DrLongmont, CO 80503-2717 · (813) 504-6273
Organization SubpartNo
Authorized OfficialSarah Marie BairMember · (813) 504-6273
Enumeration DateJune 1, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1558853846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CO · 48408
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.
2350 17TH AVE STE 100, Longmont, CO 80503

Other Identifiers 2

Other1760670863Individual Npi - Sarah M Bair
Medicaid04440087CO

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

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 Waiver 06D2244639

Crossroads Dermatology · Longmont, CO
Active · expires Dec 2, 2027
CLIA Number06D2244639
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDr. Sarah M. Bair
Laboratory Phone(303) 848-8334
Laboratory LocationCrossroads Dermatology2350 17th Ave, Suite 100, Longmont, CO 80503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
2350 17TH AVE STE 100
LONGMONT, CO 80503

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 Crossroads Dermatology LLC's NPI number?

The NPI number for Crossroads Dermatology LLC is 1558853846. It was assigned to this organization in the NPPES registry on June 1, 2018.

Where is Crossroads Dermatology LLC located?

Crossroads Dermatology LLC is located at 2350 17th Ave Ste 100, Longmont, CO 80503. The listed phone number is (720) 204-3376.

What is Crossroads Dermatology LLC's specialty?

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

Does Crossroads Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2244639) is associated with this NPI, valid through December 2, 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 Crossroads Dermatology LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.