CLEMMENSEN ADAMS & TACK PSC NPI 1780852368

NPI Information

  • NPI: 1780852368
  • Provider Name: CLEMMENSEN, ADAMS, & TACK PSC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: CARSON DERMATOLOGY
  • CLIA Number: 29D0540265
  • Address: 1100 S CARSON ST
    CARSON CITY, NV
    ZIP 89701
  • Phone: (775) 883-7811

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NPI Details

CLEMMENSEN, ADAMS, & TACK PSC is a dermatology in Carson City, NV. The provider is 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. CLEMMENSEN, ADAMS, & TACK PSC NPI is 1780852368. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Carson Dermatology.

The provider's business location address is:

1100 S CARSON ST
CARSON CITY, NV
ZIP 89701-232
Phone: (775) 883-7811
Fax: (775) 883-7871

The provider's authorized official is David Alan Tack .
The authorized official title is President and has the following contact phone number (775) 883-7811.

The CLIA number assigned to this NPI record is 29D0540265 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 1/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207ND0900XDermatologyDermatopathologyNo
3207NS0135XDermatologyProcedural DermatologyNo
4207N00000XDermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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