Clemmensen, Adams, & Tack PSC
NPI 1780852368ActiveOrganization· Dermatology· Carson City, NV
Dermatology in Carson City, Nevada, registered in NPPES in February 2008. The authorized official on file is David Alan Tack, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780852368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2008 |
| Last updated in NPPES | Jan 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
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) |
|---|
Other Dermatology providers in Carson City
- 1437865367
- 1831478254
- 1992190235
- 1124032990