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MOUNTAIN DERMATOLOGY SPECIALISTS, PC
NPI 1790053213
Dermatology in Edwards, CO

Active since December 12, 2011
105 EDWARDS VILLAGE BOULEVARD, SUITE G211, EDWARDS, CO 81632(970) 926-1800(888) 505-2650 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountain Dermatology Specialists, Pc NPPES

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

MOUNTAIN DERMATOLOGY SPECIALISTS, PC (NPI 1790053213) is a healthcare organization registered as a dermatology in Edwards, Colorado and active in the NPI registry since December 2011. The organization lists Jean L Urquhart, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1790053213
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOUNTAIN DERMATOLOGY SPECIALISTS, PC
Location Address105 EDWARDS VILLAGE BOULEVARD, SUITE G211Edwards, CO 81632-3211
Mailing AddressPo Box 2606Edwards, CO 81632-2606 · (970) 926-1800 · Fax (888) 505-2650
Phone(970) 926-1800
Fax(888) 505-2650
Organization SubpartNo
Authorized OfficialJean L UrquhartPhysician Owner · (970) 926-1800
Enumeration DateDecember 12, 2011
Last NPPES UpdateJanuary 23, 2018
✔ NPI 1790053213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CO · 38262
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 · DermatopathologyTaxonomy 207ND0900X · License 38262 (CO)
105 EDWARDS VILLAGE BOULEVARD, Edwards, CO 81632
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Other Identifiers 1

Medicaid60738740CO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Dermatology Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain Dermatology Specialists, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lauren Bonati, M.
Dermatology
NPI 1982947891
105 EDWARDS VILLAGE BOULEVARD G211
Edwards, CO 81632
(970) 926-1800
✔ PECOS✔ Accepts MedicareSame address
Jean Urquhart, MD
Dermatology
NPI 1619023298
377 SYLVAN LAKE RD SUITE 120
Eagle, CO 81631
(970) 926-1800
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 06D2037196

Mountain Dermatology Specialists · Edwards, CO
Expired · Sep 30, 2026
CLIA Number06D2037196
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Jean Urquhart
Laboratory Phone(970) 401-3461
Laboratory LocationMountain Dermatology Specialists105 Edwards Village Blvd, Ste G-211, Edwards, CO 81632
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermatology Specialists, PC's NPI number?

The NPI number for Mountain Dermatology Specialists, PC is 1790053213. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is Mountain Dermatology Specialists, PC located?

Mountain Dermatology Specialists, PC is located at 105 Edwards Village Boulevard Suite G211, Edwards, CO 81632. The listed phone number is (970) 926-1800.

What is Mountain Dermatology Specialists, PC's specialty?

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

Is Mountain Dermatology Specialists, PC enrolled in Medicare?

Yes. Mountain Dermatology Specialists, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Dermatology Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Mountain Dermatology Specialists, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain Dermatology Specialists, PC was last updated on January 23, 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.