ALPINE DERMATOLOGY CLINIC P.C.
NPI 1588802391
Clinic/Center - Medical Specialty in Rexburg, ID
NPI Status: Active since February 02, 2009
Contact Information
1049 SUMMERS DR
REXBURG, ID
ZIP 83440
Phone: (208) 359-4841
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 13D1096028
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-18-2027
About ALPINE DERMATOLOGY CLINIC P.C.
This page provides the complete NPI Profile along with additional information for Alpine Dermatology Clinic P.c., a provider established in Rexburg, Idaho operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1588802391 assigned on February 2009. The practitioner's primary taxonomy code is 261QM2500X with license number O-0508 (ID). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Daniel R Marshall D.o. (Owner, Ceo)
- NPI
- 1588802391
- Provider Name
- ALPINE DERMATOLOGY CLINIC P.C.
- Entity Type
- Organization
- Location Address
- 1049 SUMMERS DR REXBURG, ID 83440
- Location Phone
- (208) 359-4841
- Mailing Address
- 1049 SUMMERS DR REXBURG, ID 83440
- Mailing Phone
- (208) 359-4841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2009
- Last Update Date
- 04-05-2019
- Code Navigator
Location Map
Secondary Locations
- 927 S Utah Ave Ste 200
Idaho Falls, ID 83402
(208) 359-4841 - 150 S Main St Ste 1
Driggs, ID 83422
(208) 359-4841 - 520 Highland Dr
Arco, ID 83213
(208) 359-4841
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- O-0508
- License State
- ID
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1096028
- Facility Type
- Physician Office
- Certificate Effective Date
- October 19, 2025
- Certificate Expiration Date
- October 18, 2027
- Laboratory Director
- DANIEL R. MARSHALL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Alpine Dermatology Clinic P.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for ALPINE DERMATOLOGY CLINIC P.C.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588802391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588802391, enumerated as an "organization" on February 02, 2009.
The provider is located at 1049 SUMMERS DR REXBURG, ID 83440 and the phone number is (208) 359-4841.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Moda Health Plan, Inc. and University of Utah. Please consult your insurance carrier or call the provider to verify.
