Silver Falls Dermatology, LLC
NPI 1134375421 · Dermatology Physician · Salem, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Silver Falls Dermatology, LLC is a Dermatology Physician organization in Salem, OR (NPI 1134375421).
Provider details
- NPI number
- 1134375421
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Malissa Kobbevik, Credentialing Manager(360) 375-2038
- License
- MD26178 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
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
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Frontier Dermatology
- Former legal business name
- Silver Falls Dermatology, PC
- Former legal business name
- Silver Falls Dermatology, PC
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Frequently asked questions
- What is Silver Falls Dermatology, LLC's NPI number?
- Silver Falls Dermatology, LLC's National Provider Identifier (NPI) is 1134375421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Silver Falls Dermatology, LLC?
- Silver Falls Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Silver Falls Dermatology, LLC located?
- Silver Falls Dermatology, LLC's practice location on file with NPPES is 1793 13th St Se, Salem, OR 97302-2541.
- What is Silver Falls Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Silver Falls Dermatology, LLC is (503) 362-8385.
- Does Silver Falls Dermatology, LLC accept Medicare?
- Silver Falls Dermatology, LLC 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 Silver Falls Dermatology, LLC?
- The authorized official listed on Silver Falls Dermatology, LLC's NPPES record is Malissa Kobbevik, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Silver Falls Dermatology, LLC's NPI active?
- Yes — Silver Falls Dermatology, LLC's NPI (1134375421) is active in the NPPES registry as of the last update on 2024-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.