OrganizationActive
Omni Dermatology Tempe LLC
NPI 1639611130 · Specialist · Tempe, AZ
Provider details
- NPI number
- 1639611130
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Racette, President(602) 559-9961
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4515 S Mcclintock Dr
Ste 101
Tempe, AZ 85282-7376
Phone: (602) 559-5470
Fax: (602) 559-5471
Street-level locationGet directions
Mailing address
4840 E Indian School Rd
Phoenix, AZ 85018-5500
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2016-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.