Dakota Dermatology at Spirit Lake PC
NPI 1073287678ActiveOrganization· Dermatology· Spirit Lake, IA
Dermatology in Spirit Lake, Iowa, registered in NPPES in August 2021, part of Dakota Dermatology, Ltd. The authorized official on file is Jameson Colin McGrann, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073287678 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dakota Dermatology, Ltd |
| NPI issued | Aug 6, 2021 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
Other Dermatology providers in Spirit Lake
- 1245123835