Active NPI
Jan Peter Dank, MD
- Dermatology Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00032116
- Practice address
- 905 Squalicum Way
Suite 101
Bellingham, WA 98225-2076 - Phone
- (360) 676-1470
- Fax
- (360) 676-0377
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00032116 | WA | Primary |
Addresses
Primary practice location
905 Squalicum Way
Suite 101
Bellingham, WA 98225-2076
Mailing address
905 Squalicum Way
Suite 101
Bellingham, WA 98225-2076
Phone (360) 676-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Colorado School of Medicine, Denver, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 Ellis St
Suite 202
Bellingham, WA 98225-5245
Phone (360) 746-2380
905 Squalicum Way
Suite 101
Bellingham, WA 98225-2056
Phone (360) 676-1470
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.33 of 100
- Quality
- 88.79
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of skin lesions | 1773 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032116 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Laser Center NW | Dermatology | Current | Accepting new patients |
| Silver Falls Dermatology, LLC | Current | Accepting new patients | |
| Silver Falls Dermatology, LLC | Dermatology | Current | Accepting new patients |
Locations
1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628
4540 Cordata Pkwy
Ste 101
Bellingham, WA 98226
Phone (360) 255-5049
1151 Ellis St
Ste 202
Bellingham, WA 98225
Phone (360) 746-2380
905 Squalicum Way
Ste 101
Bellingham, WA 98225
Phone (360) 676-1470
1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- jan@dermandlasernw.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Bellingham, WA
- NPI 1376648717
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1417163635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1053428490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SQUALICUM WAY",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252076",
"telephone_number": "360-676-1470",
"fax_number": "360-676-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SQUALICUM WAY",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252076",
"telephone_number": "360-676-1470",
"fax_number": "360-676-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANK",
"first_name": "JAN",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00032116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.