OrganizationActive
Ct Derm PC
NPI 1902843485 · Dermatology Physician · Fruitland, ID
Ct Derm PC is a Dermatology Physician organization in Fruitland, ID (NPI 1902843485).
Provider details
- NPI number
- 1902843485
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Thornfeldt, Owner(208) 452-7450
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
811 Nw 12th St
Fruitland, ID 83619-2268
Phone: (208) 452-7450
Street-level locationGet directions
Mailing address
811 Nw 12th St
Fruitland, ID 83619-2268
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2015-03-27
Frequently asked questions
- What is Ct Derm PC's NPI number?
- Ct Derm PC's National Provider Identifier (NPI) is 1902843485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ct Derm PC?
- Ct Derm PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ct Derm PC located?
- Ct Derm PC's practice location on file with NPPES is 811 Nw 12th St, Fruitland, ID 83619-2268.
- What is Ct Derm PC's phone number?
- The practice phone number listed in the NPPES registry for Ct Derm PC is (208) 452-7450.
- Who is the authorized official for Ct Derm PC?
- The authorized official listed on Ct Derm PC's NPPES record is Carl Thornfeldt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ct Derm PC's NPI active?
- Yes — Ct Derm PC's NPI (1902843485) is active in the NPPES registry as of the last update on 2015-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.