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LIBERTY DERMATOPATHOLOGY
NPI 1659656759
Dermatology in Rowlett, TX

Active since October 20, 2011CLIA 45D2034913 · Microscopy
7105 LAKEVIEW PKWY STE 100, ROWLETT, TX 75088(972) 475-5300(972) 475-5303 Get Directions Write a Review

NPPES record last updated: October 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2021, May 5, 2020 (2 updates tracked since 2020).

About Liberty Dermatopathology NPPES

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

LIBERTY DERMATOPATHOLOGY (NPI 1659656759) is a healthcare organization registered as a dermatology in Rowlett, Texas and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through October 30, 2027, maintains a secondary practice location in Rockwall, and lists Kien T. Tran, President, as its authorized official.

NPPES Registry Identity

NPI1659656759
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLIBERTY DERMATOLOGY, PA
Location Address7105 LAKEVIEW PKWY STE 100Rowlett, TX 75088-4202
Mailing AddressPo Box 601799Dallas, TX 75360-1799 · (214) 893-9677 · Fax (972) 475-5303
Phone(972) 475-5300
Fax(972) 475-5303
Organization SubpartNo
Authorized OfficialKien T. TranPresident · (214) 893-9677
Enumeration DateOctober 20, 2011
Last NPPES UpdateOctober 10, 20212 updates tracked since enumeration
NPPES CertifiedOctober 10, 2021
✔ NPI 1659656759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · N3356
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.
7105 LAKEVIEW PKWY STE 100, Rowlett, TX 75088
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Other Names 1

Doing Business AsLiberty Dermatopathology

Secondary Practice Location 1

Location 16800 Heritage Pkwy Ste 100Rockwall, TX 75087-8746 · Phone (972) 475-5300 · Fax (972) 475-5303

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 Molina Healthcare.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)

Liberty Dermatopathology 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 Liberty Dermatopathology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Theresa Vo, M.D.
Family Practice
NPI 1437592151
7105 LAKEVIEW PKWY STE 100
Rowlett, TX 75088
(972) 475-5300
✔ PECOS✔ Accepts MedicareSame address
Kien Tran, MD, PHD
Dermatology
NPI 1417158833
6800 HERITAGE PKWY SUITE 100
Rockwall, TX 75087
(972) 475-5300
✔ PECOS✔ Accepts Medicare1.8 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 for Provider-Performed Microscopy Procedures (PPMP) 45D2034913

Liberty Dermatology PA · Rowlett, TX
Active · expires Oct 30, 2027
CLIA Number45D2034913
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorKien T. Tran
Laboratory Phone(972) 475-5300
Laboratory LocationLiberty Dermatology PA7105 Lakeview Pkwy Ste 100, Rowlett, TX 75088
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.

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 Liberty Dermatology, PA's NPI number?

The NPI number for Liberty Dermatology, PA is 1659656759. It was assigned to this organization in the NPPES registry on October 20, 2011. The provider is doing business as Liberty Dermatopathology.

Where is Liberty Dermatology, PA located?

Liberty Dermatology, PA is located at 7105 Lakeview Pkwy Ste 100, Rowlett, TX 75088. The listed phone number is (972) 475-5300.

What is Liberty Dermatology, PA's specialty?

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

Is Liberty Dermatology, PA enrolled in Medicare?

Yes. Liberty Dermatology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Dermatology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Liberty Dermatology, PA, in Dermatology and Family Practice. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Liberty Dermatology, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2034913) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Dermatology, PA accept?

Health plans from Molina Healthcare list Liberty Dermatology, PA 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 Liberty Dermatology, PA was last updated on October 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.