Dan M Lantz
Dermatology

Address: 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756
Phone: 4254559945

Dan M Lantz (NPI# 1811082993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1811082993
Entity Type Individual
Full Name Dan M Lantz
Credential M.D.
Gender Male
Practice Address 2330 130th Ave Ne Ste 201
Bellevue
WA 98005-1756
Practice Telephone 4254559945
Practice Fax Number 4254559947
Mailing Address 2330 130th Ave Ne Ste 201
Bellevue
WA 98005-1756
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-04
Last Update Date 2007-10-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207N00000X Dermatology Allopathic & Osteopathic Physicians MD00020553 WA
No 207ND0900X Dermatology · Dermatopathology Allopathic & Osteopathic Physicians MD00020553 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 8102519 MEDICAID

Physician Overview

NPI 1811082993
PAC ID by PECOS 3072506013
Professional Enrollment ID I20080102000347
Full Name Dan M Lantz
Organization Legal Name DERMATOPATHOLOTY NORTHWEST PLLC
Phone Number 4254559945
Gender M
Medical School UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty DERMATOLOGY
Secondary Specialties PATHOLOGY
Group Practice PAC ID 3173516101
Number of Group Practice Members 4
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 2330 130TH AVE NE STE 201
City BELLEVUE
State WA
Zip Code 98005-1756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922107523 Ray A Carlsen Dermatology 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 2006-09-21
1215370630 Caitlin J May Dermatology 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 2013-04-16
1609975226 Michael W. Piepkorn Dermatology 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912467234 Amanda Gallardo Behavior Technician 13333 Bel Rd Suite 100, Bellevue, WA 98005 2019-03-22
1639637903 Oxana I Varvaryuk Massage Therapist 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 2019-03-06
1609346246 Bhavjit Kaur Mangat Optometrist 1808 Richards Rd Suite 110, Bellevue, WA 98005 2018-11-27
1134615578 Elsie Aileen Nguyen Dentist 12715 Ne Bel Red Rd Ste 202, Bellevue, WA 98005 2018-07-09
1386138907 Amanda Frances Ellis Dietitian, Registered 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 2018-06-18
1013439074 Angela Magdalena Fruhner Counselor 12835 Bel-red Rd, Bldg. 100, Suite 145, Bellevue, WA 98005 2017-07-12
1447780218 Rachel Hersman Counselor 12835 Ne Bel Red Rd # B100s145, Bellevue, WA 98005 2017-06-14
1184153546 Jonathan Harrison Pharmacist 1121 124th Ave, Bellevue, WA 98005 2017-06-08
1336678697 Yong Huang Massage Therapist 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 2017-06-08
1992234710 Hayley Cestafe Physician Assistant 2475 140th Ave Ne, Bellevue, WA 98005 2017-06-06
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548658362 Carla J Bauman Md Ps Dermatology 626 120th Ave Ne Ste B104, Bellevue, WA 98005-3077 2014-12-31
1760646269 Carla J. Bauman, Md Dermatology 1260 116th Ave Ne Ste 100, Bellevue, WA 98004-3800 2008-07-14
1023144094 Samir P. Master Dermatology 832 102nd Ave Ne, Bellevue, WA 98004-4117 2007-02-26
1922107523 Ray A Carlsen Dermatology 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 2006-09-21
1639278260 Thomas W Weir Dermatology 1515 116th Ave Ne Ste 202, Bellevue, WA 98004-3811 2006-09-21
1316049331 John Leo Winfield Dermatology 1551 116th Ave Ne, Bellevue, WA 98004 2006-09-01
1578673372 Kyle Justin Garton Dermatology 2330 130th Ave Ne, Suite 201, Bellevue, WA 98005-1756 2006-08-30
1790793487 Clive Maopang Liu Dermatology 1810 116th Ave Ne Ste 100, Bellevue, WA 98004 2006-08-04
1952365140 Elizabeth Chandler Hughes Dermatology 626 120th Ave Ne, Ste B104, Bellevue, WA 98005-3077 2006-04-14
1699736843 Diane S Chiu Dermatology 1200 112th Ave Ne Ste C187, Bellevue, WA 98004-3749 2006-03-29
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City BELLEVUE
Zip Code 98005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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