Colorado Center for Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

49752 Issued in CO

Legal business name

COLORADO CENTER FOR DERMATOLOGY, PLLC

Practice address

8008 E Arapahoe CT Ste 200
Centennial, CO 80112-6839

Phone

(303) 761-0906

Fax

(303) 761-0907

NPI assigned

Feb 29, 2016

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Mahlberg, M.D.NPI 1285839928

Title

Director

Phone

(303) 761-0906

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

Practitioners 15

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.

• Matthew John Mahlberg, M.D.

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
  • NPI 1285839928

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Anne Wester Jones, MD

  • Dermatology Physician
  • Centennial, CO
  • NPI 1023462942
  Medicare reassignment Care Compare group NPD
• Scott Mahlberg, DO

  • MOHS-Micrographic Surgery Physician
  • Longmont, CO
  • NPI 1922661131
  Medicare reassignment Care Compare group NPD
• Joshua Schimmel, MD

  • Dermatology Physician
  • Centennial, CO
  • NPI 1881221513
  Medicare reassignment Care Compare group NPD
• Maura Caufield Smith, M.D

  • Dermatology Physician
  • Centennial, CO
  • NPI 1255775391

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Leslie Ann Stewart, M.D.

  • Specialist
  • Centennial, CO
  • NPI 1962582783

  Dermatology

  Medicare reassignment Care Compare group NPD
• Jordan Christine Card Becker, PA

  • Physician Assistant
  • Centennial, CO
  • NPI 1710478391
  Medicare reassignment Care Compare group
• Jenny Chang Binning, PA-C

  • Medical Physician Assistant
  • Centennial, CO
  • NPI 1326436197
  Medicare reassignment Care Compare group
• Brian Weinstein, PA-C

  • Physician Assistant
  • Longmont, CO
  • NPI 1952700841
  Medicare reassignment Care Compare group
• Theodore James Alkousakis, M.D.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1992830269
  Medicare reassignment NPD
• Lauren Wilson Love, MD

  • Dermatology Physician
  • Centennial, CO
  • NPI 1700379047
  NPD
• Catherine Dolores Carretero, M.D.

  • Dermatology Physician
  • Denver, CO
  • NPI 1376691931
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1588024947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 S Main St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016673",
            "country_code": "US",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6179 S Balsam Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801233092",
            "country_code": "US",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO CENTER FOR DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MAHLBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-761-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "49752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.