DERMATOLOGY SOUTHWEST
NPI 1922143544
Nurse Practitioner - Family in Burleson, TX

NPI Status: Active since February 21, 2007

Contact Information

12001 SOUTH FREEWAY
#205
BURLESON, TX
ZIP 76028
Phone: (817) 568-0500
Fax: (817) 568-0501

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 45D2004258
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-01-2026

About DERMATOLOGY SOUTHWEST

This page provides the complete NPI Profile along with additional information for Dermatology Southwest, a provider established in Burleson, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1922143544 assigned on February 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 641224 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Dermatology Southwest. The authorized official of this NPI record is Basem Chaker M.d. (President)

NPI
1922143544
Provider Legal Name
M. BASEM CHAKER, M.D. P.A.
Other Organization Name
DERMATOLOGY SOUTHWEST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12001 SOUTH FREEWAY #205 BURLESON, TX 76028
Location Phone
(817) 568-0500
Location Fax
(817) 568-0501
Mailing Address
12001 SOUTH FREEWAY #205 BURLESON, TX 76028
Mailing Phone
(817) 568-0500
Mailing Fax
(817) 568-0501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2007
Last Update Date
08-13-2008
Code Navigator

A nurse practitioner (NP) like Dermatology Southwest is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
641224
License State
TX

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BASEM CHAKER M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(817) 568-0500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2004258
Facility Type
Physician Office
Certificate Effective Date
March 02, 2024
Certificate Expiration Date
March 01, 2026
Laboratory Director
BASEM M. CHAKER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dermatology Southwest in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922143544, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 4 + 6 + 5 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1922143544.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
12001 SOUTH FREEWAY, SUITE 101
BURLESON, TX 76028
Allergy & Immunology (Allergy)
12001 SOUTH FREEWAY, SUITE 201
BURLESON, TX 76028
Dentist (Oral and Maxillofacial Surgery)
12001 SOUTH FREEWAY, SUITE 207
BURLESON, TX 76028
Family Medicine
12001 SOUTH FREEWAY, SUITE 302
BURLESON, TX 76028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922143544, enumerated as an "organization" on February 21, 2007.

The provider is located at 12001 SOUTH FREEWAY #205 BURLESON, TX 76028 and the phone number is (817) 568-0500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.