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NPI · 1053417055 · NPPES-sourced

Dermatology Center For Children & Young Adults PA

ActivePediatric Dermatology Physician
NPI Number
1053417055
Type 2 · Organisation
Taxonomy Code
207NP0225X
Contact
(651) 379-9999
Primary practice line
Last Updated
Enumerated
Primary practice addressMN · 55121-1176
2795 Pilot Knob Rd, Suite 300Eagan, MN 55121-1176
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About this NPIWhat this record shows.

NPI 1053417055 is registered to Dermatology Center For Children & Young Adults PA, a healthcare organisation classified as "Pediatric Dermatology Physician" and located at 2795 Pilot Knob Rd, Suite 300 in Eagan, Minnesota. The organisation's authorised official is Kenneth Bloom. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2M741DE· Issued by BLUE CROSS BLUE SHIELD

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dermatology Center For Children & Young Adults PA accepts. To confirm in-network status with your specific health plan, contact Dermatology Center For Children & Young Adults PA directly at (651) 379-9999.

Frequently asked

Yes. NPI 1053417055 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Dermatology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (651) 379-9999.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dermatology Center For Children & Young Adults PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207NP0225X
Last updated
Enumerated
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Pediatric Dermatology Physician providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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