1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Specialist
  6. NPI Profile

SUMMIT DERMATOLOGY, P.C.
NPI 1629291893
Specialist in Colorado Springs, CO

Active since April 10, 2007CLIA 06D0979770 · Certificate of Compliance
8890 N UNION BLVD, SUITE 207, COLORADO SPRINGS, CO 80920(719) 667-0888(719) 667-0808 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Dermatology, P.c. NPPES

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

SUMMIT DERMATOLOGY, P.C. (NPI 1629291893) is a healthcare organization registered as a specialist in Colorado Springs, Colorado and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 3, 2027 and lists Kevin L Whaley, Physician And Owner, as its authorized official.

NPPES Registry Identity

NPI1629291893
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT DERMATOLOGY, P.C.
Location Address8890 N UNION BLVD, SUITE 207Colorado Springs, CO 80920-7799
Mailing Address8890 N Union Blvd, Suite 207Colorado Springs, CO 80920-7799 · (719) 667-0888 · Fax (719) 667-0808
Phone(719) 667-0888
Fax(719) 667-0808
Organization SubpartNo
Authorized OfficialKevin L WhaleyPhysician And Owner · (719) 667-0888
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 27, 2013
✔ NPI 1629291893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 33020
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8890 N UNION BLVD, Colorado Springs, CO 80920
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN95411CO

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 Compliance 06D0979770

Summit Dermatology, PC · Colorado Springs, CO
Active · expires Jan 3, 2027
CLIA Number06D0979770
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorDr. Kevin L. Whaley
Laboratory Phone(719) 667-0888
Laboratory LocationSummit Dermatology, PC8890 N Union Blvd, Ste 207, Colorado Springs, CO 80920
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.

Other Providers at the Same Location NPPES 20

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

NORTHSIDE ASSOCIATES, PC
Surgery
8890 N UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80920
El Paso County (719) 475-2566
DR. JEANNE PRUSS OSBORN M.D.
Dermatology
8890 N UNION BLVD, SUITE 207
COLORADO SPRINGS, CO 80920
El Paso County (719) 667-0888
DR. KAREN ELIZABETH CHANG MD
Internal Medicine
8890 N UNION BLVD, STE 170
COLORADO SPRINGS, CO 80920
El Paso County (719) 572-5005
JOHN LEOPOLD MD
Pediatrics
8890 N UNION BLVD, SUITE 220
COLORADO SPRINGS, CO 80920
El Paso County (719) 574-9191
DEEDRA K. MEYERS PA - C
Physician Assistant
8890 N UNION BLVD, SUITE 207
COLORADO SPRINGS, CO 80920
El Paso County (719) 667-0888
MEMORIAL HEALTH SYSTEM
Specialist
8890 N UNION BLVD, SUITE 160
COLORADO SPRINGS, CO 80920
El Paso County (719) 354-9951
DR. MATTHEW J BURTON DDS
Dentist
8890 N UNION BLVD
COLORADO SPRINGS, CO 80920
El Paso County (719) 593-9025
DR. BRIEN J WHITTINGTON DO
Family Medicine
8890 N UNION BLVD, SUITE 170
COLORADO SPRINGS, CO 80920
El Paso County (719) 364-5005

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 Summit Dermatology, P.C.'s NPI number?

The NPI number for Summit Dermatology, P.C. is 1629291893. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Summit Dermatology, P.C. located?

Summit Dermatology, P.C. is located at 8890 N Union Blvd Suite 207, Colorado Springs, CO 80920. The listed phone number is (719) 667-0888.

What is Summit Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Summit Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D0979770) is associated with this NPI, valid through January 3, 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 Summit Dermatology, P.C. was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.