Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain West Derm - Blackhart PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1740633015

Mountain West Derm - Blackhart PLLC is an MOHS-Micrographic Surgery Physician in Reno, Nevada. Works from 11 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

640 W Moana Ln
Reno, NV 89509-4903
Phone: (775) 324-0699
Fax: (775) 323-6814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 3950 Gs Richards Blvd, Carson City, NV 89703-8457 — (775) 882-8777
  • 1825 Pinion Rd Ste F, Elko, NV 89801-8319 — (775) 299-4778
  • 607 S Maine St, Fallon, NV 89406-3801 — (775) 428-1007
  • 917 Tahoe Blvd Ste 101, Incline Village, NV 89451-7484 — (775) 324-0699
  • 3640 Warren Way Ste 100, Reno, NV 89509-5240 — (775) 324-0699
  • 5419 Reno Corporate Dr, Reno, NV 89511-2250 — (775) 324-0699
  • 3640 Warren Way Ste 200, Reno, NV 89509-5240 — (775) 324-0699
  • 9672 S McCarran Blvd, Reno, NV 89523-9205 — (775) 324-0699
  • 10479 Double R Blvd, Reno, NV 89521-8905 — (775) 850-8600
  • 4814 Sparks Blvd, Sparks, NV 89436-8219 — (775) 324-0699

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 193400000X (NV)

Record details

NPI number1740633015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bret Blackhart — Managing Partner · (775) 882-8777
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address3950 Gs Richards Blvd, Carson City, NV 89703-8457

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