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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLACKBURN WOOLFOLK DERMATOLOGY, PLLC
NPI 1447619291
Dermatology in Irving, TX

Active since February 22, 2016CLIA 45D2154894 · Waiver
4520 N MACARTHUR BLVD STE 100, IRVING, TX 75038(214) 630-5256(214) 630-2251 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Mar 14, 2025, Dec 2, 2022 and 1 more (4 updates tracked since 2016).

About Blackburn Woolfolk Dermatology, Pllc NPPES

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

BLACKBURN WOOLFOLK DERMATOLOGY, PLLC (NPI 1447619291) is a healthcare organization registered as a dermatology in Irving, Texas and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through September 19, 2028 and lists Daneeque Woolfolk, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1447619291
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLACKBURN WOOLFOLK DERMATOLOGY, PLLC
Location Address4520 N MACARTHUR BLVD STE 100Irving, TX 75038-1235
Mailing Address4520 N Macarthur Blvd Ste 100Irving, TX 75038-1235 · (214) 630-5256 · Fax (214) 630-2251
Phone(214) 630-5256
Fax(214) 630-2251
Organization SubpartNo
Authorized OfficialDaneeque WoolfolkManaging Member · (214) 630-5256
Enumeration DateFebruary 22, 2016
Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1447619291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q3314
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.
4520 N MACARTHUR BLVD STE 100, Irving, TX 75038
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Blackburn Woolfolk Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blackburn Woolfolk Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Daneeque Woolfolk, M.D.
Dermatology
NPI 1285927269
4520 N MACARTHUR BLVD STE 100
Irving, TX 75038
(214) 630-5256
✔ PECOS✔ Accepts MedicareSame address
Susuana Adjei
Dermatology
NPI 1518595289
2001 W 86TH ST
Indianapolis, IN 46260
(317) 338-6399
✔ PECOS771 mi

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

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 45D2154894

Blackburn Woolfolk Dermatology · Irving, TX
Active · expires Sep 19, 2028
CLIA Number45D2154894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2026
Certificate Expiration DateSeptember 19, 2028
Laboratory DirectorDaneeque J. Woolfolk
Laboratory Phone(214) 630-5256
Laboratory LocationBlackburn Woolfolk Dermatology4520 N Macarthur Blvd Suite 100, Irving, TX 75038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Blackburn Woolfolk Dermatology, PLLC's NPI number?

The NPI number for Blackburn Woolfolk Dermatology, PLLC is 1447619291. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Blackburn Woolfolk Dermatology, PLLC located?

Blackburn Woolfolk Dermatology, PLLC is located at 4520 N Macarthur Blvd Ste 100, Irving, TX 75038. The listed phone number is (214) 630-5256.

What is Blackburn Woolfolk Dermatology, PLLC's specialty?

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

Is Blackburn Woolfolk Dermatology, PLLC enrolled in Medicare?

Yes. Blackburn Woolfolk Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackburn Woolfolk Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Blackburn Woolfolk Dermatology, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blackburn Woolfolk Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2154894) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blackburn Woolfolk Dermatology, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Blackburn Woolfolk Dermatology, PLLC 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 Blackburn Woolfolk Dermatology, PLLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.