OrganizationActive
Kallgren Dermatology
NPI 1275953689 · Dermatology Physician · Boulder, CO
Kallgren Dermatology is a Dermatology Physician organization in Boulder, CO (NPI 1275953689).
Provider details
- NPI number
- 1275953689
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Rancis, Pa-C(303) 444-8100
- License
- 179 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3434 47th Street
Suite 200
Boulder, CO 80301
Phone: (303) 444-8100
Fax: (303) 444-8113
Street-level locationGet directions
Mailing address
3434 47th Street
Boulder, CO 80301
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2014-04-24
Frequently asked questions
- What is Kallgren Dermatology's NPI number?
- Kallgren Dermatology's National Provider Identifier (NPI) is 1275953689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kallgren Dermatology?
- Kallgren Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kallgren Dermatology located?
- Kallgren Dermatology's practice location on file with NPPES is 3434 47th Street, Boulder, CO 80301.
- What is Kallgren Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Kallgren Dermatology is (303) 444-8100.
- Who is the authorized official for Kallgren Dermatology?
- The authorized official listed on Kallgren Dermatology's NPPES record is Susan Rancis, Pa-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kallgren Dermatology's NPI active?
- Yes — Kallgren Dermatology's NPI (1275953689) is active in the NPPES registry as of the last update on 2014-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.