1. Home
  2. Directory
  3. Texas
  4. Arlington
  5. Dermatology
  6. NPI Profile

CENTER FOR DERMATOLOGY
NPI 1164919502
Dermatology in Arlington, TX

Active since April 20, 2018
1100 ORCHARD DR STE B, ARLINGTON, TX 76012(682) 712-0100 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 18, 2019, Dec 6, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About Center For Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR DERMATOLOGY (NPI 1164919502) is a healthcare organization registered as a dermatology in Arlington, Texas and active in the NPI registry since April 2018. The organization lists Ryan Pham, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1164919502
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTER FOR DERMATOLOGY
Location Address1100 ORCHARD DR STE BArlington, TX 76012
Mailing Address1100 Orchard Dr Ste BArlington, TX 76012-2519 · (682) 712-0100
Phone(682) 712-0100
Organization SubpartNo
Authorized OfficialRyan PhamManaging Member · (817) 718-3571
Enumeration DateApril 20, 2018
Last NPPES UpdateJanuary 18, 20193 updates tracked since enumeration
✔ NPI 1164919502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1100 ORCHARD DR STE B, Arlington, TX 76012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Center For Dermatology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Jack Cohen, DO
Dermatology
NPI 1134188279
5323 HARRY HINES BLVD
Dallas, TX 75390
(214) 645-2400
✔ PECOS✔ Accepts Medicare17 mi
Hong Do, FNP-BC
Nurse Practitioner
NPI 1639683576
621 SW JOHNSON AVE STE C
Burleson, TX 76028
(817) 766-7421
✔ PECOS✔ Accepts Medicare20 mi
Ryan Pham, D.O
Dermatology
NPI 1407173230
621 SW JOHNSON AVE SUITE C
Burleson, TX 76028
(817) 766-7421
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Dermatology's NPI number?

The NPI number for Center For Dermatology is 1164919502. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is Center For Dermatology located?

Center For Dermatology is located at 1100 Orchard Dr Ste B, Arlington, TX 76012. The listed phone number is (682) 712-0100.

What is Center For Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Center For Dermatology enrolled in Medicare?

Yes. Center For Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Center For Dermatology, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center For Dermatology accept?

Health plans from Molina Healthcare list Center For Dermatology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Dermatology was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.