LADERA PARK DERMATOLOGY, P.A.
NPI 1417010935
Dermatology in Austin, TX

Active since December 18, 2006
11671 JOLLYVILLE RD STE 104, AUSTIN, TX 78759(512) 345-3599(512) 345-3928 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ladera Park Dermatology, P.a. NPPES

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

LADERA PARK DERMATOLOGY, P.A. (NPI 1417010935) is a healthcare organization registered as a dermatology in Austin, Texas and active in the NPI registry since December 2006. The organization lists Janet C Dubois, President, as its authorized official.

NPPES Registry Identity

NPI1417010935
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLADERA PARK DERMATOLOGY, P.A.
Location Address11671 JOLLYVILLE RD STE 104Austin, TX 78759-4141
Mailing Address11671 Jollyville Rd Ste 104Austin, TX 78759-4141 · (512) 345-3599 · Fax (512) 345-3928
Fax(512) 345-3928
Organization SubpartNo
Authorized OfficialJanet C DuboisPresident · (512) 345-3599
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 27, 2013
NPI 1417010935 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.
11671 JOLLYVILLE RD STE 104, Austin, TX 78759

Other Identifiers 2

Other0001MUTX · Blue Cross Group Number
Medicare ID-Type Unspecified00196ZTX · Group Number

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

Other Providers at the Same Location NPPES

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

Dermatology
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759

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 Ladera Park Dermatology, P.A.'s NPI number?

The NPI number for Ladera Park Dermatology, P.A. is 1417010935. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Ladera Park Dermatology, P.A. located?

Ladera Park Dermatology, P.A. is located at 11671 Jollyville Rd Ste 104, Austin, TX 78759. The listed phone number is (512) 345-3599.

What is Ladera Park Dermatology, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ladera Park Dermatology, P.A. was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.