Twin Peaks Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TWIN PEAKS DERMATOLOGY, PC

Practice address

205 S Main St
Suite E
Longmont, CO 80501-1716

Phone

(303) 485-8913

Fax

(303) 485-8914

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

John Fueston, M.D.NPI 1023000692

Title

President of Twin Peaks Dermatology

Phone

(303) 485-8913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIFGBA

Practitioners 1

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

• John Christopher Fueston, M.D.

  • Dermatology Physician
  • Longmont, CO
  • NPI 1023000692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1467628404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-485-8913",
            "fax_number": "303-485-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-485-8913",
            "fax_number": "303-485-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PEAKS DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "FUESTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OF TWIN PEAKS DERMATOLOGY",
        "authorized_official_telephone_number": "303-485-8913",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Turner, MD
• Tiffanie Rae Turner, MA CCC-SLP
• Turtlemoon, Inc.
• Mark Kardos Tuttle, M.D.
• Twin Peaks Dental & Orthodontics
• Twin Peaks Medical Imaging LLC
• Twin Peaks Wound and Wellness Center
• Shantell M Twobears, MD
• Theresa A Tyler
• Gerlinde S Tynan, MD

• Dermatology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.