Kallgren Dermatology
Kallgren Dermatology is a healthcare organization registered as Dermatology Physician in Boulder, CO, holding Type 2 (organization) NPI 1275953689 since 2014. The authorized official on file is Susan Rancis, PA-C.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275953689 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kallgren Dermatology |
| Practice address | 3434 47TH STREET, SUITE 200, Boulder, CO, 80301 |
| Phone | 3034448100 |
| Fax | 3034448113 |
| Enumeration date | 2014-04-24 |
| Last updated in NPPES | 2014-04-24 |
Authorized official
| Name | Susan Rancis |
|---|---|
| Title | PA-C |
| Phone | 3034448100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | 179 | CO |
Copy-ready billing details
Provider: Kallgren Dermatology NPI: 1275953689 Taxonomy: 207N00000X (Dermatology Physician) Address: 3434 47TH STREET, SUITE 200, Boulder, CO, 80301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144213679 | Susan Rancis | Individual | Physician Assistant | Boulder, CO |
| 1558406173 | Occupational Health Centers of the Southwest P.A. | Organization | Health Service Clinic/Center | Boulder, CO |
| 1386833291 | American Current Care PA PC | Organization | Clinic/Center | Boulder, CO |
Verify this record
Cross-check NPI 1275953689 against the authoritative CMS record: view Kallgren Dermatology on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Kallgren Dermatology located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-04-24.