OrganizationActive
Alpine Dermatology Clinic P.C.
NPI 1588802391 · Medical Specialty Clinic/Center · Rexburg, ID
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
Detailed profile(95/100 index)
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
1049 Summers Dr
Rexburg, ID 83440-5335
Phone: (208) 359-4841
Street-level locationGet directions
Mailing address
1049 Summers Dr
Rexburg, ID 83440-5335
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.