Ct Derm PC

Ct Derm PC is a healthcare organization registered as Dermatology Physician in Fruitland, ID, holding Type 2 (organization) NPI 1902843485 since 2006. The authorized official on file is Carl Thornfeldt, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1902843485
Entity type	Organization (Type 2)
Legal business name	Ct Derm PC
Practice address	811 NW 12TH ST, Fruitland, ID, 83619
Phone	2084527450
Enumeration date	2006-06-01
Last updated in NPPES	2015-03-27

Authorized official

Name	Carl Thornfeldt
Title	Owner
Phone	2084527450

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207N00000X	Dermatology Physician	Primary	—	—

Copy-ready billing details

Provider: Ct Derm PC
NPI: 1902843485
Taxonomy: 207N00000X (Dermatology Physician)
Address: 811 NW 12TH ST, Fruitland, ID, 83619

Providers at this address

NPI	Name	Type	Specialty	Location
1083653489	Carl Thornfeldt	Individual	Dermatology Physician	Fruitland, ID
1770876625	Melissa Pace	Individual	Family Nurse Practitioner	Fruitland, ID
1386103760	Brittney Irons	Individual	Family Nurse Practitioner	Fruitland, ID
1205466281	Jeanna Rendo	Individual	Nurse Practitioner	Fruitland, ID

Verify this record

Cross-check NPI 1902843485 against the authoritative CMS record: view Ct Derm PC 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?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-03-27. Verify at npiregistry.cms.hhs.gov.

Where is Ct Derm PC located?

The practice location on file with NPPES is in Fruitland, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-03-27.