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Boone Dermatology Clinic

Dermatology Physician in Boone, NC · enumerated 2006 · authorized official Ronald Stanley, President.

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

National Provider Identifier

1417913260

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Registry record

Entity type Organization (Type 2)
Legal business name Boone Dermatology Clinic
Practice address 169 Birch St, Boone, NC, 28607
Phone (828) 264-4553
Fax (828) 262-3649
Enumeration date Apr 21, 2006
Last updated in NPPES Apr 13, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 18060 (NC) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 25707 (NC) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 200000665 (NC) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 200500862 (NC) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 39986 (NC) Primary

Authorized official

Name Ronald Stanley
Title President
Phone (828) 264-4553

Other identifiers

Identifier Type State Issuer
01404 Other NC BLUE CROSS BLUE SHIELD
8901404 Medicaid NC -

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

Where is Boone Dermatology Clinic located?
The practice location on file with NPPES is in Boone, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-04-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-13.