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Dermatology and Endocrinology LLC

Dermatology Physician in Pueblo, CO · enumerated 2006 · authorized official Kim Dernovsek, Owner.

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

National Provider Identifier

1114999018

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Registry record

Entity type Organization (Type 2)
Legal business name Dermatology and Endocrinology LLC
Practice address 1925 E Orman Ave, Ste 115, Pueblo, CO, 81004
Phone (719) 564-4500
Fax (719) 564-0304
Enumeration date Feb 3, 2006
Last updated in NPPES Jan 11, 2016

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 26083 (CO) Primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License 26084 (CO) Secondary

Authorized official

Name Kim Dernovsek
Title Owner
Phone (719) 564-4500

Other identifiers

Identifier Type State Issuer
96378352 Medicaid CO -
1114999018 Other CO RAILROAD MEDICARE

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.

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Frequently asked questions

What is the NPI number for Dermatology and Endocrinology LLC?
The NPI for Dermatology and Endocrinology LLC is 1114999018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dermatology and Endocrinology LLC?
NPPES lists Kim Dernovsek (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-11.