NORTHERN ARIZONA DERMATOLOGY CENTER PC
NORTHERN ARIZONA DERMATOLOGY CENTER PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962558569, based in Flagstaff, AZ. It is classified under Dermatology Physician.
Getting there
The practice address on file is 1490 N TURQUOISE DR, Flagstaff, AZ 86001. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8527951052
- Enrollment ID
- O20040206000555
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dermatology covers
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NUCC Health Care Provider Taxonomy, code 207N00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1962558569 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 26, 2007 |
| Last updated | May 18, 2026 |
| Status | Active |
| Practice address |
1490 N TURQUOISE DR Flagstaff, AZ 86001 (928) 774-5074 Fax (928) 779-0884 |
| Other identifiers |
MICA010529
· Other MICA03976 · Other 295114 · Other MICA03876 · Other 19361 · Other MICA03874 · Other 23222 · Other 20368 · Other MICA03872 · Other 33121 · Other 25924 · Other 30215 · Other MICA014013 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 5 | 5 | 8 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 1 | 5 | 7 | 5 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.