SCOTTSDALE SKIN BOUTIQUE AESTHETICS
NPI 1720670938
Dermatology in Scottsdale, AZ

Active since February 09, 2021CLIA 03D2206671 · Certificate of Compliance
11333 N SCOTTSDALE RD STE 115, SCOTTSDALE, AZ 85254(480) 998-1400 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scottsdale Skin Boutique Aesthetics NPPES

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

SCOTTSDALE SKIN BOUTIQUE AESTHETICS (NPI 1720670938) is a healthcare organization registered as a dermatology in Scottsdale, Arizona and active in the NPI registry since February 2021. The organization holds a CLIA Certificate of Compliance certificate valid through August 13, 2027 and lists Genevieve Egnatios, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1720670938
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSCOTTSDALE SKIN BOUTIQUE AESTHETICS
Location Address11333 N SCOTTSDALE RD STE 115Scottsdale, AZ 85254-5186
Mailing Address11333 N Scottsdale Rd Ste 115Scottsdale, AZ 85254-5186 · (480) 998-1400
Organization SubpartNo
Authorized OfficialGenevieve EgnatiosDermatologist · (480) 998-1400
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
NPI 1720670938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
11333 N SCOTTSDALE RD STE 115, Scottsdale, AZ 85254

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 03D2206671

Scottsdale Skin Boutique And Dermatology · Scottsdale, AZ
Active · expires Aug 13, 2027
CLIA Number03D2206671
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorGenevieve L. Egnatios
Laboratory Phone(480) 998-1400
Laboratory LocationScottsdale Skin Boutique And Dermatology11333 N Scottsdale Rd, Suite 115, Scottsdale, AZ 85254
CLIA data matches this NPI record on: Address 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 6

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

Dermatology
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254
Nurse Practitioner (Family)
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254
Dermatology
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254
Clinic/Center (Ambulatory Surgical)
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254
Dermatology
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254
Physician Assistant
11333 N SCOTTSDALE RD STE 115
SCOTTSDALE, AZ 85254

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 Scottsdale Skin Boutique Aesthetics's NPI number?

The NPI number for Scottsdale Skin Boutique Aesthetics is 1720670938. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Scottsdale Skin Boutique Aesthetics located?

Scottsdale Skin Boutique Aesthetics is located at 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254. The listed phone number is (480) 998-1400.

What is Scottsdale Skin Boutique Aesthetics's specialty?

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

Does Scottsdale Skin Boutique Aesthetics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2206671) is associated with this NPI, valid through August 13, 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 Scottsdale Skin Boutique Aesthetics was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.