Boone Dermatology Clinic
NPI 1417913260 · Dermatology Physician · Boone, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boone Dermatology Clinic is a Dermatology Physician organization in Boone, NC (NPI 1417913260).
Provider details
- NPI number
- 1417913260
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronald Stanley, President(828) 264-4553
- License
- 18060 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2015-04-13
Frequently asked questions
- What is Boone Dermatology Clinic's NPI number?
- Boone Dermatology Clinic's National Provider Identifier (NPI) is 1417913260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boone Dermatology Clinic?
- Boone Dermatology Clinic is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Boone Dermatology Clinic located?
- Boone Dermatology Clinic's practice location on file with NPPES is 169 Birch St, Boone, NC 28607-5069.
- What is Boone Dermatology Clinic's phone number?
- The practice phone number listed in the NPPES registry for Boone Dermatology Clinic is (828) 264-4553.
- Does Boone Dermatology Clinic accept Medicare?
- Boone Dermatology Clinic 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 Boone Dermatology Clinic?
- The authorized official listed on Boone Dermatology Clinic's NPPES record is Ronald Stanley, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boone Dermatology Clinic's NPI active?
- Yes — Boone Dermatology Clinic's NPI (1417913260) is active in the NPPES registry as of the last update on 2015-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.