Southern Colorado Dermatology Clinic PC
NPI 1548409139 · Dermatology Physician · Pueblo, CO
Southern Colorado Dermatology Clinic PC is a Dermatology Physician organization in Pueblo, CO (NPI 1548409139).
Provider details
- NPI number
- 1548409139
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krystal Nakamura, Owner(719) 564-5544
- License
- 44146 (CO)
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
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
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Frequently asked questions
- What is Southern Colorado Dermatology Clinic PC's NPI number?
- Southern Colorado Dermatology Clinic PC's National Provider Identifier (NPI) is 1548409139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Colorado Dermatology Clinic PC?
- Southern Colorado Dermatology Clinic PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Colorado Dermatology Clinic PC located?
- Southern Colorado Dermatology Clinic PC's practice location on file with NPPES is 900 Indiana Ave Ste C, Pueblo, CO 81004-3767.
- What is Southern Colorado Dermatology Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Colorado Dermatology Clinic PC is (719) 564-5544.
- Who is the authorized official for Southern Colorado Dermatology Clinic PC?
- The authorized official listed on Southern Colorado Dermatology Clinic PC's NPPES record is Krystal Nakamura, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Colorado Dermatology Clinic PC's NPI active?
- Yes — Southern Colorado Dermatology Clinic PC's NPI (1548409139) is active in the NPPES registry as of the last update on 2021-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.