Clemmensen, Adams, & Tack Psc
NPI 1780852368 · Dermatology Physician · Carson City, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clemmensen, Adams, & Tack Psc is a Dermatology Physician organization in Carson City, NV (NPI 1780852368).
Provider details
- NPI number
- 1780852368
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Tack, President(775) 883-7811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Carson Dermatology
Registry dates
- Enumerated
- 2008-02-15
- Last updated
- 2015-01-22
Frequently asked questions
- What is Clemmensen, Adams, & Tack Psc's NPI number?
- Clemmensen, Adams, & Tack Psc's National Provider Identifier (NPI) is 1780852368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clemmensen, Adams, & Tack Psc?
- Clemmensen, Adams, & Tack Psc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Clemmensen, Adams, & Tack Psc located?
- Clemmensen, Adams, & Tack Psc's practice location on file with NPPES is 1100 S Carson St, Carson City, NV 89701-5232.
- What is Clemmensen, Adams, & Tack Psc's phone number?
- The practice phone number listed in the NPPES registry for Clemmensen, Adams, & Tack Psc is (775) 883-7811.
- Does Clemmensen, Adams, & Tack Psc accept Medicare?
- Clemmensen, Adams, & Tack Psc 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 Clemmensen, Adams, & Tack Psc?
- The authorized official listed on Clemmensen, Adams, & Tack Psc's NPPES record is David Tack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clemmensen, Adams, & Tack Psc's NPI active?
- Yes — Clemmensen, Adams, & Tack Psc's NPI (1780852368) is active in the NPPES registry as of the last update on 2015-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.