NORTHSIDE DERMATOLOGY, LLC
NPI 1710951165
Dermatology in Fishers, IN

Active since February 14, 2006CLIA 15D1037467 · Microscopy
9865 E 116TH ST STE 200, FISHERS, IN 46037(317) 849-6600(317) 849-6601 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2020, Feb 11, 2020, Aug 17, 2017 (3 updates tracked since 2017).

About Northside Dermatology, Llc NPPES

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

NORTHSIDE DERMATOLOGY, LLC (NPI 1710951165) is a healthcare organization registered as a dermatology in Fishers, Indiana and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through February 23, 2027 and lists Christine Kuhn, Physician/managing Member, as its authorized official.

NPPES Registry Identity

NPI1710951165
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHSIDE DERMATOLOGY, LLC
Location Address9865 E 116TH ST STE 200Fishers, IN 46037-9238
Mailing Address9865 E 116th St, Suite 200Fishers, IN 46037-9238 · (317) 849-6600 · Fax (317) 849-6601
Fax(317) 849-6601
Organization SubpartNo
Authorized OfficialChristine KuhnPhysician/managing Member · (317) 849-6600
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration
NPI 1710951165 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 ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 01055268A (IN)
9865 E 116TH ST STE 200, Fishers, IN 46037

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 for Provider-Performed Microscopy Procedures (PPMP) 15D1037467

Northside Dermatology LLC · Fishers, IN
Active · expires Feb 23, 2027
CLIA Number15D1037467
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorChristine A. Kuhn
Laboratory Phone(317) 849-6600
Laboratory LocationNorthside Dermatology LLC9865 E 116th St Ste 200, Fishers, IN 46037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northside Dermatology, LLC's NPI number?

The NPI number for Northside Dermatology, LLC is 1710951165. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Northside Dermatology, LLC located?

Northside Dermatology, LLC is located at 9865 E 116th St Ste 200, Fishers, IN 46037. The listed phone number is (317) 849-6600.

What is Northside Dermatology, LLC's specialty?

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

Does Northside Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D1037467) is associated with this NPI, valid through February 23, 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 Northside Dermatology, LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.