Organization Active NPI

Montrose Dermatology PLLC

  • Dermatology Physician
  • Montrose, CO
National Provider Identifier
1083532303
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MONTROSE DERMATOLOGY PLLC
Practice address
2730 Commercial Way
Montrose, CO 81401-5693
Phone
(970) 964-4036
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Larry Peeters
Title
Practice Manager
Phone
(970) 964-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2730 Commercial Way
Montrose, CO 81401-5693

Mailing address

2730 Commercial Way
Montrose, CO 81401-5693
Phone (970) 964-4036

Other practice location 1

233 Cottonwood St
Delta, CO 81416-4400
Phone (970) 964-4036 ext. 1118

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://montrosederm.ema.md/ Direct

National Provider Directory

National Provider Directory
Tax ID family
Montrose Dermatology PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1083532303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 COMMERCIAL WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015693",
            "telephone_number": "970-964-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 COMMERCIAL WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015693",
            "telephone_number": "970-964-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814164400",
            "country_code": "US",
            "telephone_number": "970-964-4036 x1118",
            "fax_number": "970-964-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTROSE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "PEETERS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-964-4036"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://montrosederm.ema.md/",
            "affiliation": "N",
            "endpointDescription": "Modernizing Medicine EMA (EMR)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2730 Commercial Way",
            "city": "Montrose",
            "state": "CO",
            "country_code": "US",
            "postal_code": "814015693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.