Active NPI
Dermatology and Laser Institute of Colorado
- Dermatology Physician
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 38188
- Legal business name
- DERMATOLOGY AND LASER INSTITUTE OF COLORADO
- Practice address
- 9695 S Yosemite St
Ste 175
Lone Tree, CO 80124-2888 - Phone
- (720) 344-5252
- Fax
- (720) 344-0296
- NPI assigned
- May 11, 2006
- Last updated
- Aug 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J Ort, M.D.
- Title
- President
- Phone
- (720) 344-5252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 38188 | CO | Primary |
Addresses
Primary practice location
9695 S Yosemite St
Ste 175
Lone Tree, CO 80124-2888
Mailing address
9695 S Yosemite St
Ste 175
Lone Tree, CO 80124-2888
Phone (720) 344-5252
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0983760 | Dermatology and Laser Institute of Colorado | Provider-performed microscopy | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
9695 S Yosemite St
Ste 120
Lone Tree, CO 80124
Phone (303) 394-2828
9695 S Yosemite St
Ste 175
Lone Tree, CO 80124
Phone (720) 344-5252
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dermatology Physician
- Lone Tree, CO
- NPI 1093776593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406851200000",
"number": "1659321826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9695 S YOSEMITE ST",
"address_2": "STE 175",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242888",
"telephone_number": "720-344-5252",
"fax_number": "720-344-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9695 S YOSEMITE ST",
"address_2": "STE 175",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242888",
"telephone_number": "720-344-5252",
"fax_number": "720-344-0296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY AND LASER INSTITUTE OF COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2014-08-01",
"status": "A",
"authorized_official_last_name": "ORT",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-344-5252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "38188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Denver Metro Imaging, LLC (Park Meadows Imaging)
- Denver Neurological Clinic Professional LLC
- Denver Neurological Clinic Professional LLC
- Denver Spine Center
- Mark Terrence Derrevere
- Jennifer T Desbois, PT
- Marie Deshazo, NURSE PRACTITIONER
- Amy Marlene Deviney, NP-C
- Anmol Dhaliwal, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.