Organization Active NPI

Small Holdings PA

  • Dermatology Physician
  • Sartell, MN
National Provider Identifier
1245052554
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SMALL HOLDINGS PA
Practice address
161 19TH St S Ste 106
Sartell, MN 56377-2555
Phone
(320) 252-3376
Fax
(320) 288-2701
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Barry Allen Labine, MDNPI 1780686592
Title
MD/Owner
Phone
(320) 217-3099

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: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

161 19TH St S Ste 106
Sartell, MN 56377-2555

Mailing address

161 19TH St S Ste 106
Sartell, MN 56377-2555
Phone (320) 252-3376

Other names 1

  • Element Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130003887 MN Part B Supplier - Clinic/Group Practice 4981133238 Receives reassigned benefits from 4 practitioners
Practice locations: Sartell, MN

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
24D2040347Element Dermatology161 19TH St South Suite 106, Sartell, MN 56377ComplianceApr 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1245052554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 106",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-252-3376",
            "fax_number": "320-288-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 106",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-252-3376",
            "fax_number": "320-288-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL HOLDINGS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "LABINE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "320-217-3099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Element Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Element Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.