Alpine Dermatology Clinic P.C.
NPI 1588802391 · Medical Specialty Clinic/Center · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alpine Dermatology Clinic P.C. is a Medical Specialty Clinic/Center organization in Rexburg, ID (NPI 1588802391).
Provider details
- NPI number
- 1588802391
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Marshall, Owner, Ceo(208) 359-4841
- License
- O-0508 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
4 documented practice locations
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
Additional practice locations (3)
- 520 Highland DrArco, ID 83213Phone: (208) 359-4841
- 150 S Main St Ste 1Driggs, ID 83422-5022Phone: (208) 359-4841
- 927 S Utah Ave Ste 200Idaho Falls, ID 83402-3322Phone: (208) 359-4841
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2019-04-05
Frequently asked questions
- What is Alpine Dermatology Clinic P.C.'s NPI number?
- Alpine Dermatology Clinic P.C.'s National Provider Identifier (NPI) is 1588802391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alpine Dermatology Clinic P.C.?
- Alpine Dermatology Clinic P.C. is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Alpine Dermatology Clinic P.C. located?
- Alpine Dermatology Clinic P.C.'s practice location on file with NPPES is 1049 Summers Dr, Rexburg, ID 83440-5335.
- What is Alpine Dermatology Clinic P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Alpine Dermatology Clinic P.C. is (208) 359-4841.
- Does Alpine Dermatology Clinic P.C. accept Medicare?
- Alpine Dermatology Clinic P.C. 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 Alpine Dermatology Clinic P.C.?
- The authorized official listed on Alpine Dermatology Clinic P.C.'s NPPES record is Daniel Marshall, Owner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alpine Dermatology Clinic P.C.'s NPI active?
- Yes — Alpine Dermatology Clinic P.C.'s NPI (1588802391) is active in the NPPES registry as of the last update on 2019-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.