Organization Active NPI

Alpine Dermatology Associates PLLC

  • Dermatology Physician
  • Lakewood, CO
National Provider Identifier
1396864500
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ALPINE DERMATOLOGY ASSOCIATES PLLC
Practice address
1785 Kipling St
Lakewood, CO 80215-2843
Phone
(303) 935-4681
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Darnell Martin-Wimmer, MD
Title
Owner
Phone
(303) 935-4681

Specialties & licenses 1

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

Addresses

Primary practice location

1785 Kipling St
Lakewood, CO 80215-2843

Mailing address

1785 Kipling St
Lakewood, CO 80215-2843
Phone (303) 805-7686

National Provider Directory

National Provider Directory

Locations

1785 Kipling St
Lakewood, CO 80215
Phone (303) 935-4681

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1396864500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152843",
            "telephone_number": "303-805-7686",
            "fax_number": "303-805-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152843",
            "telephone_number": "303-935-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN-WIMMER",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-935-4681",
        "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": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.