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CENTRAL MISSOURI DERMATOLOGY ASSOC
NPI 1699663849
Clinic/Center - Medical Specialty in Columbia, MO

Active since June 26, 2025
401 N KEENE ST, COLUMBIA, MO 65201(573) 876-1616(573) 876-1678 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Missouri Dermatology Assoc NPPES

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

CENTRAL MISSOURI DERMATOLOGY ASSOC (NPI 1699663849) is a healthcare organization registered as a medical specialty in Columbia, Missouri and active in the NPI registry since June 2025. The organization lists Tiffany Martin, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1699663849
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCENTRAL MISSOURI DERMATOLOGY ASSOC
Location Address401 N KEENE STColumbia, MO 65201-6625
Mailing Address401 N Keene StColumbia, MO 65201-6625 · (573) 876-1616 · Fax (573) 876-1678
Phone(573) 876-1616
Fax(573) 876-1678
Organization SubpartNo
Authorized OfficialTiffany MartinBilling Manager · (573) 876-1616
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1699663849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
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).
401 N KEENE ST, Columbia, MO 65201
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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.

DR. ANDREW MICHAEL BASNETT M.D.
Dermatology (MOHS-Micrographic Surgery)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616
LISA D. MONSEES M.D.
Pediatrics (Adolescent Medicine)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
PHILIP W MORRISON MA, LPC
Counselor (Professional)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
THRIVE HEALTHCARE LLC
Internal Medicine
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
ANTHONY JASON BANKS LMSW
Social Worker (Clinical)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
DEDRAE KELLY PLPC
Counselor
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
ANGELICA EHRHARDT PLPC
Counselor (Professional)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
VICTORIA HULL PA-C
Physician Assistant
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616

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 Central Missouri Dermatology Assoc's NPI number?

The NPI number for Central Missouri Dermatology Assoc is 1699663849. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Central Missouri Dermatology Assoc located?

Central Missouri Dermatology Assoc is located at 401 N Keene St, Columbia, MO 65201. The listed phone number is (573) 876-1616.

What is Central Missouri Dermatology Assoc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Central Missouri Dermatology Assoc was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.