Integrated Dermatology of Boulder Creek, LLC
NPI 1568033066 · Dermatology Physician · Superior, CO
Integrated Dermatology of Boulder Creek, LLC is a Dermatology Physician organization in Superior, CO (NPI 1568033066).
Provider details
- NPI number
- 1568033066
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Fuentes, Authorized(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-07-06
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Frequently asked questions
- What is Integrated Dermatology of Boulder Creek, LLC's NPI number?
- Integrated Dermatology of Boulder Creek, LLC's National Provider Identifier (NPI) is 1568033066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Boulder Creek, LLC?
- Integrated Dermatology of Boulder Creek, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Boulder Creek, LLC located?
- Integrated Dermatology of Boulder Creek, LLC's practice location on file with NPPES is 400 S Mccaslin Blvd Ste 100, Superior, CO 80027-9701.
- What is Integrated Dermatology of Boulder Creek, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Boulder Creek, LLC is (303) 666-5261.
- Who is the authorized official for Integrated Dermatology of Boulder Creek, LLC?
- The authorized official listed on Integrated Dermatology of Boulder Creek, LLC's NPPES record is David Fuentes, Authorized. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Boulder Creek, LLC's NPI active?
- Yes — Integrated Dermatology of Boulder Creek, LLC's NPI (1568033066) is active in the NPPES registry as of the last update on 2021-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.