PEAK DERMATOLOGY PROFESSIONAL LLC
NPI 1932479961
Dermatology - Procedural Dermatology in Littleton, CO

NPI Status: Active since January 06, 2012

Contact Information

2009 W LITTLETON BLVD
SUITE 100
LITTLETON, CO
ZIP 80120
Phone: (303) 246-4451
Fax: (720) 287-6235

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 06D2036649
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-31-2025

About PEAK DERMATOLOGY PROFESSIONAL LLC

This page provides the complete NPI Profile along with additional information for Peak Dermatology Professional Llc, a provider established in Littleton, Colorado operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1932479961 assigned on January 2012. The practitioner's primary taxonomy code is 207NS0135X with license number 46029 (CO). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Riley Greene M.d. (Managing Member)

NPI
1932479961
Provider Name
PEAK DERMATOLOGY PROFESSIONAL LLC
Entity Type
Organization
Location Address
2009 W LITTLETON BLVD SUITE 100 LITTLETON, CO 80120
Location Phone
(303) 246-4451
Location Fax
(720) 287-6235
Mailing Address
2009 W LITTLETON BLVD SUITE 100 LITTLETON, CO 80120
Mailing Phone
(303) 221-4448
Mailing Fax
(720) 287-6235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2012
Last Update Date
03-28-2012
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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 Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
46029
License State
CO
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

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.

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

RILEY GREENE M.D.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(303) 246-4451

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2036649
Facility Type
Community Clinic
Certificate Effective Date
July 17, 2022
Certificate Expiration Date
October 31, 2025
Laboratory Director
DR. RILEY E. GREENE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Peak Dermatology Professional Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1932479961, 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 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
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 3 → 6 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 6 + 2 + 8 + 7 + 1 + 8 + 9 + 1 + 2 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1932479961.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dermatology
2009 W LITTLETON BLVD, #100
LITTLETON, CO 80120
Dermatology
2009 W LITTLETON BLVD, SUITE 100
LITTLETON, CO 80120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932479961, enumerated as an "organization" on January 06, 2012.

The provider is located at 2009 W LITTLETON BLVD SUITE 100 LITTLETON, CO 80120 and the phone number is (303) 246-4451.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.