Organization Active NPI

Dermatology Associates PLLP

  • Dermatology Physician
  • Kalispell, MT
National Provider Identifier
1114093846
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES PLLP
Practice address
175 Commons Loop
Ste 300
Kalispell, MT 59901
Phone
(406) 756-7555
Fax
(406) 756-7517
NPI assigned
Nov 27, 2006
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Thomas George, MDNPI 1336207430
Title
Owner/Medical Director
Phone
(406) 756-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

175 Commons Loop
Ste 300
Kalispell, MT 59901

Mailing address

175 Commons Loop Ste 300
Kalispell, MT 59901-1904
Phone (406) 756-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000667 MT Part B Supplier - Clinic/Group Practice 5193617223 Receives reassigned benefits from 10 practitioners
Practice locations: Kalispell, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0411177Dermatology Associates, PLLP175 Commons Loop, Suite 300, Kalispell, MT 59901ComplianceNov 7, 2027

National Provider Directory

National Provider Directory

Locations

175 Commons Loop
Kalispell, MT 59901
Phone (406) 756-7558

175 Commons Loop
Ste 300
Kalispell, MT 59901
Phone (406) 755-7555

401 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7440

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1114093846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP STE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555",
            "fax_number": "406-756-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP",
            "address_2": "STE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-756-7555",
            "fax_number": "406-756-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "406-756-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.