PARK CITIES DERMATOLOGY, PA
NPI 1871527531
Dermatology - Procedural Dermatology in Dallas, TX

Active since July 10, 2006
4420 W LOVERS LN, DALLAS, TX 75209(214) 373-7546(214) 373-7545 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Park Cities Dermatology, Pa NPPES

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

PARK CITIES DERMATOLOGY, PA (NPI 1871527531), doing business as Dermatology Office, is a healthcare organization registered as a procedural dermatology in Dallas, Texas and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Irving and lists Mark Turner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871527531
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NamePARK CITIES DERMATOLOGY, PA
Location Address4420 W LOVERS LNDallas, TX 75209-3130
Mailing AddressPo Box 610429Dallas, TX 75261-0429 · (214) 373-7546 · Fax (214) 373-7545
Fax(214) 373-7545
Organization SubpartNo
Authorized OfficialMark TurnerAdministrator · (214) 373-7546
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 11, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1871527531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
4420 W LOVERS LN, Dallas, TX 75209

Other Names 1

Doing Business AsDermatology Office

Secondary Practice Location 1

Location 17200 State Highway 161 Ste 230Irving, TX 75039-3829 · Phone (214) 373-7546 · Fax (214) 373-7545

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Cities Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20061006000063Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Cities Dermatology, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1396795886
4420 W LOVERS LN
Dallas, TX 75209
(214) 373-7546
✔ 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 Park Cities Dermatology, PA's NPI number?

The NPI number for Park Cities Dermatology, PA is 1871527531. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Dermatology Office.

Where is Park Cities Dermatology, PA located?

Park Cities Dermatology, PA is located at 4420 W Lovers Ln, Dallas, TX 75209. The listed phone number is (214) 373-7546.

What is Park Cities Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Park Cities Dermatology, PA enrolled in Medicare?

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

When is Park Cities Dermatology, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Park Cities Dermatology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Park Cities Dermatology, 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.

What insurance does Park Cities Dermatology, PA accept?

Health plans from Harbor Health list Park Cities 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 Park Cities Dermatology, PA was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.