Individual provider Active NPI

Jan Peter Dank, MD

  • Dermatology Physician
  • Bellingham, WA
National Provider Identifier
1053428490
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00032116 Issued in WA
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

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001224 WA Practitioner - Dermatology 6103886478 Reassigns benefits to 2 organizations

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
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians
Dermatology and Laser Center NWGroup PAC ID 4981596426, 3 clinicians

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 100Reported as individual
Quality
88.79
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions1773
Removal or shaving of skin growth1-10
Skin biopsy206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00032116WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Laser Center NW Dermatology CurrentSince Jan 1, 2003 Accepting new patients
Silver Falls Dermatology, LLC CurrentSince Oct 1, 2025 Accepting new patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.