Organization
Mountain West Derm - Blackhart PLLC
Provider's NPPES record last updated: July 30, 2025
Overview
- Entity Type
- Organization
- NPI
- 1740633015
- Primary Specialty
- Dermatology — MOHS-Micrographic Surgery
- Practice Location
- Reno, Nevada
- 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 18, 2026, 11:41 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
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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
Dermatology
MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Taxonomy code 207ND0101X
Provider-Reported License Information
- Dermatology (Nevada)
- 193400000X
Practice Locations
Practice Location
640 W Moana Ln
Reno, Nevada 89509-4903
Phone: (775) 324-0699
Additional Practice Location
917 Tahoe Blvd Ste 101
Incline Village, Nevada 89451-7484
Phone: (775) 324-0699
Fax: (775) 298-7324
Additional Practice Location
607 S Maine St
Fallon, Nevada 89406-3801
Phone: (775) 428-1007
Fax: (775) 888-8062
Additional Practice Location
1825 Pinion Rd Ste F
Elko, Nevada 89801-8319
Phone: (775) 299-4778
Fax: (775) 299-4690
Additional Practice Location
9672 S Mccarran Blvd
Reno, Nevada 89523-9205
Phone: (775) 324-0699
Fax: (775) 323-6814
Additional Practice Location
3950 Gs Richards Blvd
Carson City, Nevada 89703-8457
Phone: (775) 882-8777
Fax: (775) 888-8062
Additional Practice Location
3640 Warren Way Ste 100
Reno, Nevada 89509-5240
Phone: (775) 324-0699
Fax: (775) 336-3666
Additional Practice Location
3640 Warren Way Ste 200
Reno, Nevada 89509-5240
Phone: (775) 324-0699
Fax: (775) 826-4820
Additional Practice Location
10479 Double R Blvd
Reno, Nevada 89521-8905
Phone: (775) 850-8600
Fax: (775) 850-8665
Additional Practice Location
5419 Reno Corporate Dr
Reno, Nevada 89511-2250
Phone: (775) 324-0699
Fax: (775) 323-6814
Additional Practice Location
4814 Sparks Blvd
Sparks, Nevada 89436-8219
Phone: (775) 324-0699
Fax: (775) 451-7501
Record Information
- Enumeration Date
- July 21, 2016
- Provider's NPPES Record Last Updated
- July 30, 2025
- Certification Date
- July 30, 2025
- NPISignal NPPES Dataset
- August 2026
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