Lake Loveland Dermatology PC
NPI 1679646582 · Dermatology Physician · Loveland, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Loveland Dermatology PC is a Dermatology Physician organization in Loveland, CO (NPI 1679646582).
Provider details
- NPI number
- 1679646582
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Mott, Owner(303) 569-7700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
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
2 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 (1)
- 6801 W 20th St Unit 202Greeley, CO 80634-9640Phone: (970) 667-3116Fax: (970) 669-0159
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Frequently asked questions
- What is Lake Loveland Dermatology PC's NPI number?
- Lake Loveland Dermatology PC's National Provider Identifier (NPI) is 1679646582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Loveland Dermatology PC?
- Lake Loveland Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Loveland Dermatology PC located?
- Lake Loveland Dermatology PC's practice location on file with NPPES is 1708 Boise Ave, Loveland, CO 80538-4204.
- What is Lake Loveland Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Loveland Dermatology PC is (970) 667-3116.
- Does Lake Loveland Dermatology PC accept Medicare?
- Lake Loveland Dermatology PC 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 Lake Loveland Dermatology PC?
- The authorized official listed on Lake Loveland Dermatology PC's NPPES record is Kevin Mott, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Loveland Dermatology PC's NPI active?
- Yes — Lake Loveland Dermatology PC's NPI (1679646582) is active in the NPPES registry as of the last update on 2020-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.