OrganizationActive
Northland Dermatology LLC
NPI 1639573561 · Medical Specialty Clinic/Center · Kansas City, MO
Provider details
- NPI number
- 1639573561
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Rouse, Dermatologist(816) 977-3975
- License
- LC001419345 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
6352 N Cosby Ave
Kansas City, MO 64151-2344
Phone: (816) 977-3677
Street-level locationGet directions
Mailing address
6352 N Cosby Ave
Kansas City, MO 64151-2344
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.