ABERDEEN DERMATOLOGY CLINIC, LTD. — NPI 1902876998 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in ABERDEEN, SD)

CMS-1500 Box 24J / 33a • NPI

1902876998

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207N00000X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

201 S LLOYD ST, ABERDEEN, SD, 57401-4552

✓ 9-Digit EDI 837 ZIP+4 (57401-4552)

Practice Phone & Referral Fax

(605) 226-0560

Fax: (605) 226-1653

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902876998 (ABERDEEN DERMATOLOGY CLINIC, LTD.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902876998` (NPI-2 Organization / Facility)
Provider / Legal Name	ABERDEEN DERMATOLOGY CLINIC, LTD.
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207N00000X` (Dermatology)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	201 S LLOYD ST, ABERDEEN, SD, 57401-4552
Practice Telephone / Fax	Tel: (605) 226-0560 \| Fax: (605) 226-1653
Administrative Mailing Address	201 S LLOYD ST, ABERDEEN, SD, 57401-4552
Enumeration & Last Sync	Enumerated: 2006-01-24 \| CMS Record Updated: 2020-08-22
Authorized Official	WARREN REDMOND (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

201 S LLOYD ST, ABERDEEN, SD, 57401-4552

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Plain-English Taxonomy & CMS Crosswalk (207N00000X)

What Does Taxonomy Code 207N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABERDEEN DERMATOLOGY CLINIC, LTD.)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: SD \| License: `1205` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABERDEEN DERMATOLOGY CLINIC, LTD. (NPI #1902876998)