Mountain West Derm - Blackhart PLLC
NPI 1124670088 · Dermatology Physician · Anchorage, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain West Derm - Blackhart PLLC is a Dermatology Physician organization in Anchorage, AK (NPI 1124670088).
Provider details
- NPI number
- 1124670088
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bret Blackhart, Owner(775) 560-8668
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Doing business as
- Alaska Center for Dermatology
- Doing business as
- Alaska Center for Dermatology
Additional practice locations (1)
- 188 W Northern Lights Blvd Ste 800Anchorage, AK 99503-3984Phone: (907) 646-8500Fax: (907) 646-8500
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Mountain West Derm - Blackhart PLLC's NPI number?
- Mountain West Derm - Blackhart PLLC's National Provider Identifier (NPI) is 1124670088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain West Derm - Blackhart PLLC?
- Mountain West Derm - Blackhart PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain West Derm - Blackhart PLLC located?
- Mountain West Derm - Blackhart PLLC's practice location on file with NPPES is 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673.
- What is Mountain West Derm - Blackhart PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain West Derm - Blackhart PLLC is (907) 646-8500.
- Does Mountain West Derm - Blackhart PLLC accept Medicare?
- Mountain West Derm - Blackhart PLLC 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 Mountain West Derm - Blackhart PLLC?
- The authorized official listed on Mountain West Derm - Blackhart PLLC's NPPES record is Bret Blackhart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain West Derm - Blackhart PLLC's NPI active?
- Yes — Mountain West Derm - Blackhart PLLC's NPI (1124670088) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.