LAKE LOVELAND DERMATOLOGY PC
NPI 1679646582
Dermatology in Loveland, CO

Active since November 16, 2006
1708 BOISE AVE, LOVELAND, CO 80538(970) 667-3116(970) 669-0159 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2020, Mar 17, 2018, Nov 20, 2017 (3 updates tracked since 2017).

About Lake Loveland Dermatology Pc NPPES

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

LAKE LOVELAND DERMATOLOGY PC (NPI 1679646582) is a healthcare organization registered as a dermatology in Loveland, Colorado and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Greeley and lists Kevin John Mott, Owner, as its authorized official.

NPPES Registry Identity

NPI1679646582
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKE LOVELAND DERMATOLOGY PC
Location Address1708 BOISE AVELoveland, CO 80538-4204
Mailing AddressPo Box 7643Loveland, CO 80537-0643 · (970) 663-2742 · Fax (970) 342-2093
Fax(970) 669-0159
Organization SubpartNo
Authorized OfficialKevin John MottOwner · (303) 569-7700
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 6, 20203 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
NPI 1679646582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
1708 BOISE AVE, Loveland, CO 80538

Secondary Practice Location 1

Location 16801 W 20th St Unit 202Greeley, CO 80634-9640 · Phone (970) 667-3116 · Fax (970) 669-0159

Other Identifiers 1

Medicaid04014833CO

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Specialist
1708 BOISE AVE
LOVELAND, CO 80538
Physical Therapist
1708 BOISE AVE
LOVELAND, CO 80538
Physical Therapist
1708 BOISE AVE
LOVELAND, CO 80538
Physical Therapist
1708 BOISE AVE
LOVELAND, CO 80538
Physical Therapy Assistant
1708 BOISE AVE
LOVELAND, CO 80538
Nurse Practitioner (Family)
1708 BOISE AVE
LOVELAND, CO 80538
Physician Assistant
1708 BOISE AVE
LOVELAND, CO 80538
Dermatology (MOHS-Micrographic Surgery)
1708 BOISE AVE
LOVELAND, CO 80538

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 Lake Loveland Dermatology PC's NPI number?

The NPI number for Lake Loveland Dermatology PC is 1679646582. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Lake Loveland Dermatology PC located?

Lake Loveland Dermatology PC is located at 1708 Boise Ave, Loveland, CO 80538. The listed phone number is (970) 667-3116.

What is Lake Loveland Dermatology 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 Lake Loveland Dermatology PC was last updated on November 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.