ADVANCED DERMATOLOGY CARE
NPI 1912158031
Dermatology in Forest Lake, MN

Active since October 07, 2008
25 LAKE ST N, SUITE 200, FOREST LAKE, MN 55025(651) 484-2724 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dermatology Care NPPES

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

ADVANCED DERMATOLOGY CARE (NPI 1912158031) is a healthcare organization registered as a dermatology in Forest Lake, Minnesota and active in the NPI registry since October 2008. The organization lists Olaf J Rustad, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1912158031
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY CARE MEDICAL COSMETIC AND SURGERY PA
Location Address25 LAKE ST N, SUITE 200Forest Lake, MN 55025-2535
Mailing Address4480 Centerville RdSaint Paul, MN 55127-3674 · (641) 484-2724
Organization SubpartNo
Authorized OfficialOlaf J RustadDermatologist · (651) 484-2724
Enumeration DateOctober 7, 2008
Last NPPES UpdateJanuary 11, 2010
NPI 1912158031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MN · 1376
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.
25 LAKE ST N, Forest Lake, MN 55025

Other Names 1

Doing Business AsAdvanced Dermatology Care

Other Identifiers 3

Medicare UPIND98155MN
Other070000195MN · Ptan
OtherC01783MN · Group Legacy

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

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
25 LAKE ST N, SUITE 135
FOREST LAKE, MN 55025
Dentist (Endodontics)
25 LAKE ST N, STE 110
FOREST LAKE, MN 55025
Chiropractor
25 LAKE ST N, SUITE 217
FOREST LAKE, MN 55025
Chiropractor
25 LAKE ST N, SUITE 217
FOREST LAKE, MN 55025
Dentist (Endodontics)
25 LAKE ST N, SUITE 110
FOREST LAKE, MN 55025
Dentist (Endodontics)
25 LAKE ST N, STE 110
FOREST LAKE, MN 55025

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 Advanced Dermatology Care Medical Cosmetic And Surgery PA's NPI number?

The NPI number for Advanced Dermatology Care Medical Cosmetic And Surgery PA is 1912158031. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as Advanced Dermatology Care.

Where is Advanced Dermatology Care Medical Cosmetic And Surgery PA located?

Advanced Dermatology Care Medical Cosmetic And Surgery PA is located at 25 Lake St N Suite 200, Forest Lake, MN 55025. The listed phone number is (651) 484-2724.

What is Advanced Dermatology Care Medical Cosmetic And Surgery PA's specialty?

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

What insurance does Advanced Dermatology Care Medical Cosmetic And Surgery PA accept?

Health plans from HealthPartners list Advanced Dermatology Care Medical Cosmetic And Surgery PA 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 Advanced Dermatology Care Medical Cosmetic And Surgery PA was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.