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LAKEWOOD DERMATOLOGY, PLLC
NPI 1780045260
Dermatology in Dallas, TX

Active since March 11, 2016
6162 E MOCKINGBIRD LN, STE. 120, DALLAS, TX 75214(214) 463-8328 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakewood Dermatology, Pllc NPPES

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

LAKEWOOD DERMATOLOGY, PLLC (NPI 1780045260) is a healthcare organization registered as a dermatology in Dallas, Texas and active in the NPI registry since March 2016. The organization lists Patrick Henry Mcdonough, President, as its authorized official.

NPPES Registry Identity

NPI1780045260
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKEWOOD DERMATOLOGY, PLLC
Location Address6162 E MOCKINGBIRD LN, STE. 120Dallas, TX 75214-2697
Mailing Address6162 E Mockingbird Ln, Ste. 120Dallas, TX 75214-2697 · (214) 463-8328
Phone(214) 463-8328
Organization SubpartNo
Authorized OfficialPatrick Henry McdonoughPresident · (214) 463-8328
Enumeration DateMarch 11, 2016
Last NPPES UpdateNovember 8, 2016
✔ NPI 1780045260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q6655
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.
6162 E MOCKINGBIRD LN, Dallas, TX 75214
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Other Identifiers 1

Medicare PIN530036TX

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 WellPoint.Insurance ›

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) 45D2117217

Lakewood Dermatology · Dallas, TX
Expired · Aug 10, 2026
CLIA Number45D2117217
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorPatrick H. Mcdonough
Laboratory Phone(732) 996-7276
Laboratory LocationLakewood Dermatology6162 E Mockingbird Lane, Suite 120, Dallas, TX 75214
CLIA data matches this NPI record on: Address Name
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 8

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

PATRICK HENRY MCDONOUGH
Dermatology
6162 E MOCKINGBIRD LN, SUITE 120
DALLAS, TX 75214
Dallas County (214) 463-8328
MR. JULIEN PORTER DEVEREUX LCSW
Social Worker (Clinical)
6162 E MOCKINGBIRD LN, SUITE #215
DALLAS, TX 75214
Dallas County (469) 644-3975
NANCY LEE SONNTAG L.C.S.W.
Social Worker (Clinical)
6162 E MOCKINGBIRD LN, STE. 215
DALLAS, TX 75214
Dallas County (972) 841-4510
TANASHA N FRIAR
Massage Therapist
6162 E MOCKINGBIRD LN
DALLAS, TX 75214
Dallas County (469) 618-1368
MR. EDWARD A. DAVISSON LPC
Counselor (Professional)
6162 E MOCKINGBIRD LN, 220
DALLAS, TX 75214
Dallas County (469) 583-6441
OMNI EEG LAB, INC.
Physiological Laboratory
6162 E MOCKINGBIRD LN, SUITE 210A
DALLAS, TX 75214
Dallas County (877) 334-5227
MS. BEVERLY ANN YOUNG L.P.C.
Counselor (Professional)
6162 E MOCKINGBIRD LN, SUITE 204
DALLAS, TX 75214
Dallas County (214) 537-8455
DAVISSON CONSULTING, INC.
Counselor (Professional)
6162 E MOCKINGBIRD LN, 220
DALLAS, TX 75214
Dallas County (469) 583-6441

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 Lakewood Dermatology, PLLC's NPI number?

The NPI number for Lakewood Dermatology, PLLC is 1780045260. It was assigned to this organization in the NPPES registry on March 11, 2016.

Where is Lakewood Dermatology, PLLC located?

Lakewood Dermatology, PLLC is located at 6162 E Mockingbird Ln Ste. 120, Dallas, TX 75214. The listed phone number is (214) 463-8328.

What is Lakewood Dermatology, PLLC's specialty?

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

What insurance does Lakewood Dermatology, PLLC accept?

Health plans from WellPoint list Lakewood 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 Lakewood Dermatology, PLLC was last updated on November 8, 2016. 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.