ADVANCED DERMATOLOGY CARE
NPI 1912158031
Dermatology in Forest Lake, MN

NPI Status: Active since October 07, 2008

Contact Information

25 LAKE ST N
SUITE 200
FOREST LAKE, MN
ZIP 55025
Phone: (651) 484-2724

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  • Organization
  • Dermatology
  • Accepts Insurance

About ADVANCED DERMATOLOGY CARE

This page provides the complete NPI Profile along with additional information for Advanced Dermatology Care, a provider established in Forest Lake, Minnesota operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1912158031 assigned on October 2008. The practitioner's primary taxonomy code is 207N00000X with license number 1376 (MN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Advanced Dermatology Care. The authorized official of this NPI record is Dr. Olaf J Rustad M.d. (Dermatologist)

NPI
1912158031
Provider Legal Name
ADVANCED DERMATOLOGY CARE MEDICAL COSMETIC AND SURGERY PA
Other Organization Name
ADVANCED DERMATOLOGY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25 LAKE ST N SUITE 200 FOREST LAKE, MN 55025
Location Phone
(651) 484-2724
Mailing Address
4480 CENTERVILLE RD SAINT PAUL, MN 55127
Mailing Phone
(641) 484-2724
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2008
Last Update Date
01-11-2010
Code Navigator

A dermatologist like Advanced Dermatology Care is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
1376
License State
MN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. OLAF J RUSTAD M.D.

Authorized Official Title
DERMATOLOGIST
Authorized Official Phone
(651) 484-2724

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D98155MEDICARE UPIN (02)MN 
070000195OTHER (01)MNPTAN
C01783OTHER (01)MNGROUP LEGACY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912158031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 2 + 5 + 1 + 6 + 0 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912158031.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

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 (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
Dentist (Endodontics)
25 LAKE ST N, SUITE 110
FOREST LAKE, MN 55025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912158031, enumerated as an "organization" on October 07, 2008.

The provider is located at 25 LAKE ST N SUITE 200 FOREST LAKE, MN 55025 and the phone number is (651) 484-2724.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.