Organization
Destination Dermatology LLC
Provider's NPPES record last updated: June 16, 2026
Overview
- Entity Type
- Organization
- NPI
- 1205368453
- Primary Specialty
- Clinic/Center — Medical Specialty
- Practice Location
- Frisco, Colorado
- 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 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 21, 2026, 6:28 AM 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Medical Specialty
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Taxonomy code 261QM2500X Dermatology
Procedural Dermatology
Allopathic & Osteopathic Physicians
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Taxonomy code 207NS0135X
Provider-Reported License Information
- Clinic/Center (Colorado)
- PA0004388
Practice Locations
Practice Location
60 Main Street
Ste F, G & H
Frisco, Colorado 80443
Phone: (309) 287-1909
Other Names
- Renew DermatologyReported March 28, 2017
- Renew DermatologyReported June 16, 2026
Record Information
- Enumeration Date
- March 28, 2017
- Provider's NPPES Record Last Updated
- June 16, 2026
- Certification Date
- June 16, 2026
- NPISignal NPPES Dataset
- August 2026
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