Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shannon Quirk Detty, M.D.

Dermatology Physician in Boulder, CO · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790149763

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Shannon Quirk Detty

Credential M.D.

Sex Female

Practice address 2880 Folsom St Ste 200, Boulder, CO, 80304

Phone (303) 442-6647

Fax (303) 442-2696

Enumeration date Apr 6, 2016

Last updated in NPPES Oct 7, 2022

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 6600-851 (WI) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 70147 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1790149763 active?

Yes, as of the latest NPPES snapshot, NPI 1790149763 is active (record last updated 2022-10-07).

How do I verify Shannon Detty's NPI record?

Cross-check NPI 1790149763 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Shawn Allen MOHS-Micrographic Surgery Physician · Boulder, CO NPI 1043340805 Laura Huff Dermatology Physician · Boulder, CO NPI 1538458963

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-07.