Organization Active NPI

Windsor Dermatology, PLLC

  • Dermatology Physician
  • Fort Collins, CO
National Provider Identifier
1336058684
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WINDSOR DERMATOLOGY, PLLC
Doing business as
Larsen Dermatology Institute
Practice address
2121 E Harmony Rd Unit 310
Fort Collins, CO 80528-3403
Phone
(970) 667-0304
Fax
(970) 669-5153
NPI assigned
Sep 3, 2026
Organization subpart
Yes
Parent organization
WINDSOR DERMATOLOGY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Dr. Ammon Jean Larsen, MD
Title
Owner
Phone
(970) 667-0304

Specialties & licenses 1

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

Addresses

Primary practice location

2121 E Harmony Rd Unit 310
Fort Collins, CO 80528-3403

Mailing address

4025 St Cloud Dr Ste 110
Loveland, CO 80538-8960
Phone (970) 667-0304

Other names 1

  • Larsen Dermatology Institute Doing business as

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1336058684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 ST CLOUD DR STE 110",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388960",
            "telephone_number": "970-667-0304",
            "fax_number": "970-669-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 310",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283403",
            "telephone_number": "970-667-0304",
            "fax_number": "970-669-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR DERMATOLOGY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDSOR DERMATOLOGY, PLLC",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "AMMON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-667-0304",
        "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": "Larsen Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.