OrganizationActive
Animas Dermatology MD PC
NPI 1063576148 · Specialist · Farmington, NM
Animas Dermatology MD PC is a Specialist organization in Farmington, NM (NPI 1063576148).
Provider details
- NPI number
- 1063576148
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jean Graham, Ceo(505) 324-8375
- License
- 97-254 (NM)
Specialties & taxonomies
Other Service Providers
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
4801 N Butler Ave Ste 9101
Farmington, NM 87401-3300
Phone: (505) 324-8375
Fax: (505) 327-4638
Street-level locationGet directions
Mailing address
1654 County Road 120
Hesperus, CO 81326-9752
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2018-08-17
Frequently asked questions
- What is Animas Dermatology MD PC's NPI number?
- Animas Dermatology MD PC's National Provider Identifier (NPI) is 1063576148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Animas Dermatology MD PC?
- Animas Dermatology MD PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Animas Dermatology MD PC located?
- Animas Dermatology MD PC's practice location on file with NPPES is 4801 N Butler Ave Ste 9101, Farmington, NM 87401-3300.
- What is Animas Dermatology MD PC's phone number?
- The practice phone number listed in the NPPES registry for Animas Dermatology MD PC is (505) 324-8375.
- Who is the authorized official for Animas Dermatology MD PC?
- The authorized official listed on Animas Dermatology MD PC's NPPES record is Jean Graham, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Animas Dermatology MD PC's NPI active?
- Yes — Animas Dermatology MD PC's NPI (1063576148) is active in the NPPES registry as of the last update on 2018-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.