Alpine Dermatology LLC
NPI 1306623749ActiveOrganization· Dermatology· Minden, NV
Dermatology in Minden, Nevada, registered in NPPES in September 2023. The authorized official on file is Lisa Ann Vandiver, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306623749 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2023 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
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 (NV) |
|---|
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