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MOUNTAIN WEST DERM - BLACKHART PLLC
NPI 1740633015
Dermatology - MOHS-Micrographic Surgery in Reno, NV

Active since July 21, 2016
640 W MOANA LN, RENO, NV 89509(775) 324-0699(775) 323-6814 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountain West Derm - Blackhart Pllc NPPES

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

MOUNTAIN WEST DERM - BLACKHART PLLC (NPI 1740633015) is a healthcare organization registered as a mohs-micrographic surgery in Reno, Nevada and active in the NPI registry since July 2016. The organization maintains 10 additional practice locations and lists Bret Blackhart, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1740633015
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameMOUNTAIN WEST DERM - BLACKHART PLLC
Location Address640 W MOANA LNReno, NV 89509-4903
Mailing Address3950 Gs Richards BlvdCarson City, NV 89703-8457 · (775) 882-8777 · Fax (775) 888-8062
Phone(775) 324-0699
Fax(775) 323-6814
Organization SubpartNo
Authorized OfficialBret BlackhartManaging Partner · (775) 882-8777
Enumeration DateJuly 21, 2016
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1740633015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NV · 193400000X
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.

640 W MOANA LN, Reno, NV 89509
Open in Google Maps ↗

Secondary Practice Locations 10

Location 11825 Pinion Rd Ste FElko, NV 89801-8319 · Phone (775) 299-4778 · Fax (775) 299-4690
Location 24814 Sparks BlvdSparks, NV 89436-8219 · Phone (775) 324-0699 · Fax (775) 451-7501
Location 3917 Tahoe Blvd Ste 101Incline Village, NV 89451-7484 · Phone (775) 324-0699 · Fax (775) 298-7324
Location 4607 S Maine StFallon, NV 89406-3801 · Phone (775) 428-1007 · Fax (775) 888-8062
Location 510479 Double R BlvdReno, NV 89521-8905 · Phone (775) 850-8600 · Fax (775) 850-8665
Location 65419 Reno Corporate DrReno, NV 89511-2250 · Phone (775) 324-0699 · Fax (775) 323-6814
Location 79672 S McCarran BlvdReno, NV 89523-9205 · Phone (775) 324-0699 · Fax (775) 323-6814
Location 83640 Warren Way Ste 200Reno, NV 89509-5240 · Phone (775) 324-0699 · Fax (775) 826-4820
Location 93640 Warren Way Ste 100Reno, NV 89509-5240 · Phone (775) 324-0699 · Fax (775) 336-3666
Location 103950 Gs Richards BlvdCarson City, NV 89703-8457 · Phone (775) 882-8777 · Fax (775) 888-8062

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 18

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

AMBER FRANCO DAMONTE PA-C
Physician Assistant
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 324-0699
ANTHONY E ALBREGTS M.D.
Dermatology
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 336-3624
BRAD WILLIAM HAMMON D.O.
Dermatology
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 350-7831
KIMBERLY A KOLAR M.D.
Dermatology
640 W MOANA LN, STE 2
RENO, NV 89509
Washoe County (775) 324-0699
AMY RACHELLE SCHOENING PA-C
Physician Assistant
640 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 323-2135
SHAUNDRA EICHSTADT MD
Dermatology
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 324-0699
MICHAEL ZUMWALT M.D.
Dermatology
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 324-0699
DR. WHITNEY WALDROUP HOVENIC M.D.
Dermatology (Procedural Dermatology)
640 W MOANA LN
RENO, NV 89509
Washoe County (775) 324-0699

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 Mountain West Derm - Blackhart PLLC's NPI number?

The NPI number for Mountain West Derm - Blackhart PLLC is 1740633015. It was assigned to this organization in the NPPES registry on July 21, 2016.

Where is Mountain West Derm - Blackhart PLLC located?

Mountain West Derm - Blackhart PLLC is located at 640 W Moana Ln, Reno, NV 89509. The listed phone number is (775) 324-0699.

What is Mountain West Derm - Blackhart PLLC's specialty?

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

What insurance does Mountain West Derm - Blackhart PLLC accept?

Health plans from Ambetter from Arizona Complete Health, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mountain West Derm - Blackhart PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain West Derm - Blackhart PLLC was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.