Clinic 5C Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLINIC 5C DERMATOLOGY

Practice address

1875 N Lakewood Dr FL 3
Coeur D Alene, ID 83814-4928

Phone

(509) 343-0250

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

Cameron Chesnut, MDNPI 1952636672

Title

Owner

Phone

(509) 343-0250

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Cameron Chesnut, MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1952636672
  NPD Authorized official

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1669340048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR FL 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR FL 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928",
            "telephone_number": "509-343-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 5C DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-343-0250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lawrence Clelland, RN
• Montanna Clendening, LPC
• Clint P Clifford, DC
• Daryl Scott Cline, MSW, CDP
• Rhett Cline, DPT
• Clinic 5C Wound Care
• Jacob Allen Cobb, LMSW
• John D Coburn, DMD
• Whitney Kay Cochran, LMSW
• Coeur D Alene Dental Center

• Dermatology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.