DERMATOLOGY PHYSICIANS OF DALLAS, P.A.
NPI 1801909346
Dermatology in Dallas, TX
About Dermatology Physicians Of Dallas, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY PHYSICIANS OF DALLAS, P.A. (NPI 1801909346) is a healthcare organization registered as a dermatology in Dallas, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Betty J Park, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Physicians Of Dallas, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Dermatology Physicians Of Dallas, P.A., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 of Waiver 45D2277949
Dermatology Physicians Of Dallas, PA · Dallas, TXFrequently 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 Dermatology Physicians Of Dallas, P.A.'s NPI number?
The NPI number for Dermatology Physicians Of Dallas, P.A. is 1801909346. It was assigned to this organization in the NPPES registry on August 17, 2006.
Where is Dermatology Physicians Of Dallas, P.A. located?
Dermatology Physicians Of Dallas, P.A. is located at 7777 Forest Ln Suite C-755, Dallas, TX 75230. The listed phone number is (972) 566-2600.
What is Dermatology Physicians Of Dallas, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Physicians Of Dallas, P.A. enrolled in Medicare?
Yes. Dermatology Physicians Of Dallas, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Physicians Of Dallas, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Physicians Of Dallas, 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. The largest specialties are Dermatology (4) and Nurse Practitioner (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Physicians Of Dallas, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2277949) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dermatology Physicians Of Dallas, P.A. was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dermatology Physicians Of Dallas, P.a. · NPI 1801909346
Dermatology organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1801909346 (Entity type: Organization)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Betty Park, PRESIDENT
## Practice location
- **Address:** 7777 FOREST LN, SUITE C-755, Dallas, TX 75230-2505
- **Phone:** (972) 566-2600 · **Fax:** (972) 566-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 00795Z (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801909346) · Data from the CMS NPPES public registry.