WEST FORT WORTH DERMATOLOGY, P.A.
NPI 1447702964
Dermatology in Fort Worth, TX

Active since November 01, 2016
4840 BRYANT IRVIN CT, SUITE 104, FORT WORTH, TX 76107(817) 989-0300(817) 377-0970 Get Directions Write a Review

NPPES record last updated: September 26, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 11, 2017, Nov 1, 2016 (2 updates tracked since 2016).

About West Fort Worth Dermatology, P.a. NPPES

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

WEST FORT WORTH DERMATOLOGY, P.A. (NPI 1447702964) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since November 2016. The organization lists Laura Furniss Morris, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1447702964
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST FORT WORTH DERMATOLOGY, P.A.
Location Address4840 BRYANT IRVIN CT, SUITE 104Fort Worth, TX 76107-7679
Mailing Address4840 Bryant Irvin Ct, Suite 104Fort Worth, TX 76107-7679 · (817) 989-0300 · Fax (817) 377-0970
Fax(817) 377-0970
Organization SubpartNo
Authorized OfficialLaura Furniss MorrisOwner/physician · (817) 713-4301
Enumeration DateNovember 1, 2016
Last NPPES UpdateSeptember 26, 20172 updates tracked since enumeration
✔ NPI 1447702964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · H7639
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.
4840 BRYANT IRVIN CT, Fort Worth, TX 76107

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Fort Worth Dermatology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to West Fort Worth Dermatology, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1588612501
4840 BRYANT IRVIN COURT # 104
Fort Worth, TX 76107
(817) 989-0300
✔ PECOS✔ Accepts MedicareSame address

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 West Fort Worth Dermatology, P.A.'s NPI number?

The NPI number for West Fort Worth Dermatology, P.A. is 1447702964. It was assigned to this organization in the NPPES registry on November 1, 2016.

Where is West Fort Worth Dermatology, P.A. located?

West Fort Worth Dermatology, P.A. is located at 4840 Bryant Irvin Ct Suite 104, Fort Worth, TX 76107. The listed phone number is (817) 989-0300.

What is West Fort Worth Dermatology, P.A.'s specialty?

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

Is West Fort Worth Dermatology, P.A. enrolled in Medicare?

Yes. West Fort Worth Dermatology, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Fort Worth Dermatology, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to West Fort Worth Dermatology, P.A.. 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.

When was this NPI record last updated?

The NPPES record for West Fort Worth Dermatology, P.A. was last updated on September 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.