Organization Active NPI

Dermatology and Laser Institute of Colorado

  • Dermatology Physician
  • Lone Tree, CO
National Provider Identifier
1659321826
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38188 Issued in CO
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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.NPI 1093776593
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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0983760Dermatology and Laser Institute of Colorado9695 S Yosemite St, Ste 175, Lone Tree, CO 80124Provider-performed microscopyFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Lone Tree, CO

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.

Verify at the official NPI Registry.