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ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
NPI 1710952882
Clinic/Center - Ambulatory Surgical in Spokane Valley, WA

Active since February 21, 2006CLIA 50D2304933 · Microscopy
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212(509) 456-7414(509) 624-0763 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology And Skin Surgery, Pllc NPPES

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

ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC (NPI 1710952882) is a healthcare organization registered as an ambulatory surgical in Spokane Valley, Washington and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Joel K Sears, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710952882
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Location Address1807 N HUTCHINSON RDSpokane Valley, WA 99212-2444
Mailing Address1807 N Hutchinson RdSpokane Valley, WA 99212-2444 · (509) 456-7414 · Fax (509) 624-0763
Phone(509) 456-7414
Fax(509) 624-0763
Organization SubpartNo
Authorized OfficialJoel K SearsMedical Director · (509) 456-7414
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 26, 2018
✔ NPI 1710952882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in WA · 601724644
1807 N HUTCHINSON RD, Spokane Valley, WA 99212
Open in Google Maps ↗

Other Identifiers 2

Medicaid7084197WA
OtherP00114626WA · Railroad Medicare

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) 50D2304933

Advanced Dermatology And Skin Surgery · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2304933
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChadd Sukut
Laboratory Phone(509) 456-7414
Laboratory LocationAdvanced Dermatology And Skin Surgery3010 S Southeast Blvd Ste B, Spokane, WA 99223
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 19

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

MOUNTAIN WEST DERM - BLACKHART PLLC
Dermatology
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
JAMES KEITH PARKER MD
Dermatology
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
MS. ELIZABETH JOAN JACOBSEN PA-C
Physician Assistant (Medical)
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
ERIN MONICA NULF PA-C
Physician Assistant
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
TAYLOR MORTEN FNP-C
Nurse Practitioner
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
JOEL K SEARS M.D.
Dermatology (Procedural Dermatology)
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
STACI M HESTDALEN M.D.
Dermatology
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414
ANDREA MEAD DOMINEY M.D.
Dermatology
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212
Spokane County (509) 456-7414

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 Advanced Dermatology And Skin Surgery, PLLC's NPI number?

The NPI number for Advanced Dermatology And Skin Surgery, PLLC is 1710952882. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Advanced Dermatology And Skin Surgery, PLLC located?

Advanced Dermatology And Skin Surgery, PLLC is located at 1807 N Hutchinson Rd, Spokane Valley, WA 99212. The listed phone number is (509) 456-7414.

What is Advanced Dermatology And Skin Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Advanced Dermatology And Skin Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2304933) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology And Skin Surgery, PLLC was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.