Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Idaho Dermatologic Surgery & Laser Center PA

MOHS-Micrographic Surgery Physician in Boise, ID · enumerated 2007 · authorized official Teri Cottingham, Owner.

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

National Provider Identifier

1649478454

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Idaho Dermatologic Surgery & Laser Center PA

Practice address 1488 N Knights Dr, Boise, ID, 83712

Phone (208) 345-4050

Fax (208) 327-9524

Enumeration date Jul 3, 2007

Last updated in NPPES Feb 23, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License M-7506 (ID) Secondary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License M-7506 (ID) Primary

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License M-7506 (ID) Secondary

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Teri Cottingham

Title Owner

Phone (208) 869-2869

Other identifiers

Identifier	Type	State	Issuer
1139318	Other	ID	PTAN
805151100	Medicaid	ID	-

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

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Idaho Dermatologic Surgery & Laser Center PA?

Idaho Dermatologic Surgery & Laser Center PA is registered in NPPES as a MOHS-Micrographic Surgery Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-23.