NPIMap

Organization Active NPI

Skin Cancer and Dermatology Center of Colorado Springs, P.C.

  • Dermatology Physician
  • Trinidad, CO
National Provider Identifier
1275120347
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Practice address
328 S Bonaventure Ave Ste 2
Trinidad, CO 81082-2086
Phone
(719) 574-0518
Fax
(719) 574-6574
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Christopher R Sartori, MDNPI 1801881941
Title
Owner/Provider
Phone
(719) 574-0310

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 Physician 207N00000X Primary

Addresses

Primary practice location

328 S Bonaventure Ave Ste 2
Trinidad, CO 81082-2086

Mailing address

1975 Research Pkwy Ste 165
Colorado Springs, CO 80920-1026
Phone (719) 574-0310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001846 CO Part B Supplier - Clinic/Group Practice 2769474840 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Pueblo, CO; Trinidad, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Skin Cancer and Derm Center2 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.

Locations

509 W 17th St
Pueblo, CO 81003
Phone (719) 543-2211

Practitioners & affiliated clinicians

Practitioners 7

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": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1275120347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 RESEARCH PKWY STE 165",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201026",
            "telephone_number": "719-574-0310",
            "fax_number": "719-574-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S BONAVENTURE AVE STE 2",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822086",
            "telephone_number": "719-574-0518",
            "fax_number": "719-574-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "SARTORI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-574-0310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.