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ESSENTIAL DERMATOLOGY GROUP, PLLC
NPI 1396338190
Dermatology in Bedford, TX

Active since February 12, 2021CLIA 45D2217938 · Waiver
1600 CENTRAL DR STE 158, BEDFORD, TX 76022(817) 736-2912(817) 736-2912 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, Apr 8, 2021, Feb 12, 2021 (3 updates tracked since 2021).

About Essential Dermatology Group, Pllc NPPES

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

ESSENTIAL DERMATOLOGY GROUP, PLLC (NPI 1396338190) is a healthcare organization registered as a dermatology in Bedford, Texas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Calvin Lamont Williams, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1396338190
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameESSENTIAL DERMATOLOGY GROUP, PLLC
Location Address1600 CENTRAL DR STE 158Bedford, TX 76022-6000
Mailing Address1600 Central Dr Ste 158Bedford, TX 76022-6000 · (817) 736-2912 · Fax (817) 736-2912
Phone(817) 736-2912
Fax(817) 736-2912
Organization SubpartNo
Authorized OfficialCalvin Lamont WilliamsMedical Director/owner · (817) 736-2912
Enumeration DateFebruary 12, 2021
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1396338190 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.
1600 CENTRAL DR STE 158, Bedford, TX 76022
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2217938

Essential Dermatology Group, PLLC · Bedford, TX
Active · expires Mar 23, 2027
CLIA Number45D2217938
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorCalvin Williams
Laboratory Phone(817) 736-2912
Laboratory LocationEssential Dermatology Group, PLLC1600 Central Dr Suite 158, Bedford, TX 76022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUN DANIEL COOPER MD
Dermatology
1600 CENTRAL DR STE 158
BEDFORD, TX 76022
Tarrant County (817) 736-2912

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 Essential Dermatology Group, PLLC's NPI number?

The NPI number for Essential Dermatology Group, PLLC is 1396338190. It was assigned to this organization in the NPPES registry on February 12, 2021.

Where is Essential Dermatology Group, PLLC located?

Essential Dermatology Group, PLLC is located at 1600 Central Dr Ste 158, Bedford, TX 76022. The listed phone number is (817) 736-2912.

What is Essential Dermatology Group, PLLC's specialty?

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

Does Essential Dermatology Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2217938) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Essential Dermatology Group, PLLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.