Clemmensen, Adams, & Tack Psc

Clemmensen, Adams, & Tack Psc is a healthcare organization registered as Dermatology Physician in Carson City, NV, holding Type 2 (organization) NPI 1780852368 since 2008. The authorized official on file is David Tack, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1780852368
Entity type	Organization (Type 2)
Legal business name	Clemmensen, Adams, & Tack Psc
Other name	<Unavail>
Practice address	1100 S CARSON ST, Carson City, NV, 89701
Phone	7758837811
Fax	7758837871
Enumeration date	2008-02-15
Last updated in NPPES	2015-01-22

Authorized official

Name	David Tack
Title	President
Phone	7758837811

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207ND0101X	MOHS-Micrographic Surgery Physician	Secondary	—	—
207ND0900X	Dermatopathology Physician	Secondary	—	—
207NS0135X	Procedural Dermatology Physician	Secondary	—	—
207N00000X	Dermatology Physician	Primary	—	—

Copy-ready billing details

Provider: Clemmensen, Adams, & Tack Psc
NPI: 1780852368
Taxonomy: 207N00000X (Dermatology Physician)
Address: 1100 S CARSON ST, Carson City, NV, 89701

Providers at this address

NPI	Name	Type	Specialty	Location
1871551747	Charles Clemmensen	Individual	Internal Medicine Physician	Carson City, NV
1841214632	Ruth Adams	Individual	MOHS-Micrographic Surgery Physician	Carson City, NV
1124032990	David Tack	Individual	Dermatology Physician	Carson City, NV

Verify this record

Cross-check NPI 1780852368 against the authoritative CMS record: view Clemmensen, Adams, & Tack Psc 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

Where is Clemmensen, Adams, & Tack Psc located?

The practice location on file with NPPES is in Carson City, NV.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-01-22.