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CARSON DERMATOLOGY
NPI 1780852368
Dermatology in Carson City, NV

Active since February 15, 2008CLIA 29D0540265 · Certificate of Compliance
1100 S CARSON ST, CARSON CITY, NV 89701(775) 883-7811(775) 883-7871 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Dermatology NPPES

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

CARSON DERMATOLOGY (NPI 1780852368) is a healthcare organization registered as a dermatology in Carson City, Nevada and active in the NPI registry since February 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists David Alan Tack, President, as its authorized official.

NPPES Registry Identity

NPI1780852368
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEMMENSEN, ADAMS, & TACK PSC
Location Address1100 S CARSON STCarson City, NV 89701-5232
Mailing Address1100 S Carson StCarson City, NV 89701-5232 · (775) 883-7811 · Fax (775) 883-7871
Phone(775) 883-7811
Fax(775) 883-7871
Organization SubpartNo
Authorized OfficialDavid Alan TackPresident · (775) 883-7811
Enumeration DateFebruary 15, 2008
Last NPPES UpdateJanuary 22, 2015
✔ NPI 1780852368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1100 S CARSON ST, Carson City, NV 89701
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Other Names 1

Doing Business AsCarson Dermatology

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 MULTIPLE 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 29D0540265

Carson Dermatology · Carson City, NV
Active · expires Jan 23, 2027
CLIA Number29D0540265
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorAlan David Tack
Laboratory Phone(775) 883-7811
Laboratory LocationCarson Dermatology1505 Medical Pkwy, Carson City, NV 89703
CLIA data matches this NPI record on: Name 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 3

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

DR. DAVID ALAN TACK M.D.
Dermatology
1100 S CARSON ST
CARSON CITY, NV 89701
Carson City (775) 883-7811
DR. RUTH ELIZABETH ADAMS M.D.
Dermatology (MOHS-Micrographic Surgery)
1100 S CARSON ST, CARSON DEMATOLOGY
CARSON CITY, NV 89701
Carson City (775) 883-7811
CHARLES CLEMMENSEN M.D.
Internal Medicine
1100 S CARSON ST
CARSON CITY, NV 89701
Carson City (775) 883-7811

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 Clemmensen, Adams, & Tack Psc's NPI number?

The NPI number for Clemmensen, Adams, & Tack Psc is 1780852368. It was assigned to this organization in the NPPES registry on February 15, 2008. The provider is doing business as Carson Dermatology.

Where is Clemmensen, Adams, & Tack Psc located?

Clemmensen, Adams, & Tack Psc is located at 1100 S Carson St, Carson City, NV 89701. The listed phone number is (775) 883-7811.

What is Clemmensen, Adams, & Tack Psc's specialty?

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

Does Clemmensen, Adams, & Tack Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D0540265) is associated with this NPI, valid through January 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 Clemmensen, Adams, & Tack Psc was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.