ARLINGTON DERMATOLOGY CLINIC, PA
NPI 1750589354
Specialist in Arlington, TX

Active since July 05, 2007
801 ROAD TO SIX FLAGS W STE 139, ARLINGTON, TX 76012(817) 265-1356 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Arlington Dermatology Clinic, Pa NPPES

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

ARLINGTON DERMATOLOGY CLINIC, PA (NPI 1750589354) is a healthcare organization registered as a specialist in Arlington, Texas and active in the NPI registry since July 2007. The organization lists Mary Z Adams, Physician, as its authorized official.

NPPES Registry Identity

NPI1750589354
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameARLINGTON DERMATOLOGY CLINIC, PA
Location Address801 ROAD TO SIX FLAGS W STE 139Arlington, TX 76012-2600
Mailing Address801 Road To Six Flags W Ste 139Arlington, TX 76012-2600 · (817) 265-1356
Organization SubpartNo
Authorized OfficialMary Z AdamsPhysician · (817) 265-1356
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750589354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · H6729
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.
801 ROAD TO SIX FLAGS W STE 139, Arlington, TX 76012

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)

Arlington Dermatology Clinic, Pa 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 Arlington Dermatology Clinic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1508811779
801 ROAD TO SIX FLAGS WEST STE 139
Arlington, TX 76012
(817) 265-1356
✔ 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 Arlington Dermatology Clinic, PA's NPI number?

The NPI number for Arlington Dermatology Clinic, PA is 1750589354. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Arlington Dermatology Clinic, PA located?

Arlington Dermatology Clinic, PA is located at 801 Road To Six Flags W Ste 139, Arlington, TX 76012. The listed phone number is (817) 265-1356.

What is Arlington Dermatology Clinic, PA's specialty?

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

Is Arlington Dermatology Clinic, PA enrolled in Medicare?

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

How many clinicians bill Medicare through Arlington Dermatology Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Arlington Dermatology Clinic, PA. 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 Arlington Dermatology Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.