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PEDIATRIC DERMATOLOGY OF DALLAS, PA
NPI 1477696466
Specialist in Dallas, TX

Active since February 15, 2007CLIA 45D1067082 · Microscopy
9900 N CENTRAL EXPY, SUITE #225, DALLAS, TX 75231(214) 384-7445(214) 363-8530 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dermatology Of Dallas, Pa NPPES

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

PEDIATRIC DERMATOLOGY OF DALLAS, PA (NPI 1477696466) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 2, 2028 and lists Kerry Robin Carder, President, as its authorized official.

NPPES Registry Identity

NPI1477696466
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC DERMATOLOGY OF DALLAS, PA
Location Address9900 N CENTRAL EXPY, SUITE #225Dallas, TX 75231-4395
Mailing Address8315 Walnut Hill Ln Ste 135Dallas, TX 75231-4225 · (214) 580-1011 · Fax (214) 580-1012
Phone(214) 384-7445
Fax(214) 363-8530
Organization SubpartNo
Authorized OfficialKerry Robin CarderPresident · (214) 580-1011
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 20, 2018
✔ NPI 1477696466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · 4021
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9900 N CENTRAL EXPY, Dallas, TX 75231
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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 for Provider-Performed Microscopy Procedures (PPMP) 45D1067082

Pediatric Dermatology Of Dallas, PA · Dallas, TX
Active · expires Mar 2, 2028
CLIA Number45D1067082
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorKerry R. Carder
Laboratory Phone(214) 580-1011
Laboratory LocationPediatric Dermatology Of Dallas, PA8315 Walnut Hill Lane, Suite 135, Dallas, TX 75231
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

SAMANTHA ANDERSON
Occupational Therapy Assistant
9900 N CENTRAL EXPY, SUITE 225
DALLAS, TX 75231
Dallas County (214) 265-0420
NIKOLE IBARRA SLP
Speech-Language Pathologist
9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Dallas County (214) 265-0420
JASON V. MATHEW
Occupational Therapist
9900 N CENTRAL EXPY, SUITE 225
DALLAS, TX 75231
Dallas County (214) 265-0420
CAYLA VAN VUREN
Speech-Language Pathologist
9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Dallas County (214) 265-0420
VANESSA C VALDEZ MS, CCC-SLP
Speech-Language Pathologist
9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Dallas County (214) 265-0420
MS. SARAH MCMENAMIN BACULI
Speech-Language Pathologist
9900 N CENTRAL EXPY
DALLAS, TX 75231
Dallas County (214) 265-0420
DR. CARL MENTESANA D.D.S.
Dentist (General Practice)
9900 N CENTRAL EXPY, SUITE # 350
DALLAS, TX 75231
Dallas County (214) 692-7800
VIVIAN CHENG SLP-A
Specialist/Technologist (Speech-Language Assistant)
9900 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Dallas County (214) 265-0420

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 Pediatric Dermatology Of Dallas, PA's NPI number?

The NPI number for Pediatric Dermatology Of Dallas, PA is 1477696466. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Pediatric Dermatology Of Dallas, PA located?

Pediatric Dermatology Of Dallas, PA is located at 9900 N Central Expy Suite #225, Dallas, TX 75231. The listed phone number is (214) 384-7445.

What is Pediatric Dermatology Of Dallas, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pediatric Dermatology Of Dallas, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1067082) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Dermatology Of Dallas, PA was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.