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Organization

Dermatology Center for Children & Young Adults PA

NPI Record: ActiveDermatology — Pediatric Dermatology
NPI1053417055
Eagan, Minnesota

Provider's NPPES record last updated: April 20, 2008

Overview

Entity Type
Organization
NPI
1053417055
Primary Specialty
Dermatology — Pediatric Dermatology
Practice Location
Eagan, Minnesota
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:04 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Pediatric Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

    Taxonomy code 207NP0225X

Practice Locations

Practice Location

2795 Pilot Knob Rd

Suite 300

Eagan, Minnesota 55121-1176

Phone: (651) 379-9999

Record Information

Enumeration Date
September 16, 2006
Provider's NPPES Record Last Updated
April 20, 2008
NPISignal NPPES Dataset
August 2026

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