OrganizationActive
Dermatology Center of Canyon County
NPI 1578694238 · Dermatology Physician · Nampa, ID
Provider details
- NPI number
- 1578694238
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gavin Powell, President(208) 467-3006
- License
- M7519 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
318 2nd St S
Nampa, ID 83651-3765
Phone: (208) 467-3006
Fax: (208) 467-1155
Street-level locationGet directions
Mailing address
318 2nd St S
Nampa, ID 83651-3765
Other names (DBA / former)
- Other name
- Dermatology & Laser Center of Canyon County
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.