OrganizationActive
Skin Cancer and Dermatology Institute
NPI 1003905001 · MOHS-Micrographic Surgery Physician · Carson City, NV
Provider details
- NPI number
- 1003905001
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Gibbons, Business Manager(775) 336-3624
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3950 Gs Richards Blvd
Carson City, NV 89703-8457
Phone: (775) 882-8777
Fax: (775) 888-8067
Street-level locationGet directions
Mailing address
640 W Moana Ln
Reno, NV 89509-4997
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2012-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.