Integrated Dermatology of Boulder, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF BOULDER, PLLC

Doing business as

Mountain View Dermatology

Practice address

2935 Baseline Road
Suite 201
Boulder, CO 80303

Phone

(303) 444-3152

Fax

(303) 444-3151

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Adam S PlotkinNPI 1306896105

Title

Manager

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Other names 1

• Mountain View Dermatology Doing business as

Locations

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.

• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past) Authorized official

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1902226434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE ROAD",
            "address_2": "SUITE 226",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE ROAD",
            "address_2": "SUITE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-444-3152",
            "fax_number": "303-444-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF BOULDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inspire Behavioral Therapy LLC
• Inspiring Talkers (Skills 4 Life Pediatric Therapy)
• Integral Therapeutics, LLC
• Integrated Body Mind Therapy Inc
• Integrated Dermatology of Boulder Creek, LLC (Boulder Dermatology)
• Integrated Medical Consultants (Colorado Clinic)
• Integrated Rehab Consultants Colorado LLC
• Integrated Rehab Consultants Colorado LLC
• Integrating Insights, Inc
• Integrative Mountain Psychiatry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.