COLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
NPI 1720685894
Dermatology - MOHS-Micrographic Surgery in Canon City, CO

Active since October 02, 2020
1332 BAUER LN, CANON CITY, CO 81212(719) 275-7485(719) 275-5331 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2024, May 3, 2023, Oct 2, 2020 (3 updates tracked since 2020).

About Colorado Springs Dermatology Clinic, P.c. NPPES

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

COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. (NPI 1720685894) is a healthcare organization registered as a mohs-micrographic surgery in Canon City, Colorado and active in the NPI registry since October 2020. The organization lists Heather Milenski, Billing Department Manager, as its authorized official.

NPPES Registry Identity

NPI1720685894
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
Location Address1332 BAUER LNCanon City, CO 81212-4669
Mailing Address170 S Parkside DrColorado Springs, CO 80910-3129 · (719) 471-1763 · Fax (719) 471-2498
Fax(719) 275-5331
Organization SubpartNo
Authorized OfficialHeather MilenskiBilling Department Manager · (719) 471-1763
Enumeration DateOctober 2, 2020
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1720685894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
1332 BAUER LN, Canon City, CO 81212

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

Other Providers at the Same Location NPPES

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

Internal Medicine (Allergy & Immunology)
1332 BAUER LN
CANON CITY, CO 81212

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 Colorado Springs Dermatology Clinic, P.C.'s NPI number?

The NPI number for Colorado Springs Dermatology Clinic, P.C. is 1720685894. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Colorado Springs Dermatology Clinic, P.C. located?

Colorado Springs Dermatology Clinic, P.C. is located at 1332 Bauer Ln, Canon City, CO 81212. The listed phone number is (719) 275-7485.

What is Colorado Springs Dermatology Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Colorado Springs Dermatology Clinic, P.C. was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.