Dermatology Specialists of Boulder, PC
NPI 1053449306 · MOHS-Micrographic Surgery Physician · Louisville, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Specialists of Boulder, PC is a MOHS-Micrographic Surgery Physician organization in Louisville, CO (NPI 1053449306).
Provider details
- NPI number
- 1053449306
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Allen, President(303) 442-6647
- License
- 43816 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
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
6 documented practice locations
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
Mailing address
Additional practice locations (5)
- 2880 Folsom StSuite #200Boulder, CO 80304-3739Phone: (303) 442-6647
- 36 S 18th Ave Ste HBrighton, CO 80601-2452Phone: (303) 442-6647Fax: (303) 442-2696
- 776 W Eisenhower BlvdLoveland, CO 80537-3157Phone: (303) 442-6647
- 11990 Grant St Ste 300Northglenn, CO 80233-1135Phone: (303) 442-6647Fax: (303) 442-2696
- 905 W 124th Ave Ste 170Westminster, CO 80234-1716Phone: (303) 442-6647Fax: (303) 442-2696
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Frequently asked questions
- What is Dermatology Specialists of Boulder, PC's NPI number?
- Dermatology Specialists of Boulder, PC's National Provider Identifier (NPI) is 1053449306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Specialists of Boulder, PC?
- Dermatology Specialists of Boulder, PC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Specialists of Boulder, PC located?
- Dermatology Specialists of Boulder, PC's practice location on file with NPPES is 1056 S 88th St, Louisville, CO 80027-9460.
- What is Dermatology Specialists of Boulder, PC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Specialists of Boulder, PC is (303) 442-6647.
- Does Dermatology Specialists of Boulder, PC accept Medicare?
- Dermatology Specialists of Boulder, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology Specialists of Boulder, PC?
- The authorized official listed on Dermatology Specialists of Boulder, PC's NPPES record is Shawn Allen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Specialists of Boulder, PC's NPI active?
- Yes — Dermatology Specialists of Boulder, PC's NPI (1053449306) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.