Divine Dermatology and Surgical Institute, PLLC
NPI 1962164269 · Dermatology Physician · Longmont, CO
Divine Dermatology and Surgical Institute, PLLC is a Dermatology Physician organization in Longmont, CO (NPI 1962164269).
Provider details
- NPI number
- 1962164269
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Divine Dermatology and Surgical Institue, PLLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Divine, Owner(970) 286-2668
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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)
- Other name
- Divine Dermatology
Registry dates
- Enumerated
- 2021-10-13
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Frequently asked questions
- What is Divine Dermatology and Surgical Institute, PLLC's NPI number?
- Divine Dermatology and Surgical Institute, PLLC's National Provider Identifier (NPI) is 1962164269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Dermatology and Surgical Institute, PLLC?
- Divine Dermatology and Surgical Institute, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Divine Dermatology and Surgical Institute, PLLC located?
- Divine Dermatology and Surgical Institute, PLLC's practice location on file with NPPES is 1715 Iron Horse Dr Ste 104, Longmont, CO 80501-9756.
- What is Divine Dermatology and Surgical Institute, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Dermatology and Surgical Institute, PLLC is (970) 286-2668.
- Who is the authorized official for Divine Dermatology and Surgical Institute, PLLC?
- The authorized official listed on Divine Dermatology and Surgical Institute, PLLC's NPPES record is Jennifer Divine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Dermatology and Surgical Institute, PLLC's NPI active?
- Yes — Divine Dermatology and Surgical Institute, PLLC's NPI (1962164269) is active in the NPPES registry as of the last update on 2021-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.