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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DALLAS CENTER FOR DERMATOLOGY AND AESTHETICS PLLC
NPI 1982069399
Dermatology in Dallas, TX

Active since December 30, 2015CLIA 45D0918559 · Microscopy
8201 PRESTON RD, STE 350, DALLAS, TX 75225(214) 631-7546(214) 631-8546 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Dec 30, 2015 (2 updates tracked since 2015).

About Dallas Center For Dermatology And Aesthetics Pllc NPPES

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

DALLAS CENTER FOR DERMATOLOGY AND AESTHETICS PLLC (NPI 1982069399) is a healthcare organization registered as a dermatology in Dallas, Texas and active in the NPI registry since December 2015. The organization holds a CLIA Microscopy certificate valid through August 12, 2028 and lists Kristel D. Polder, Owner, as its authorized official.

NPPES Registry Identity

NPI1982069399
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDALLAS CENTER FOR DERMATOLOGY AND AESTHETICS PLLC
Location Address8201 PRESTON RD, STE 350Dallas, TX 75225
Mailing Address8201 Preston Rd Ste 350Dallas, TX 75225-6225 · (214) 631-7546 · Fax (214) 631-8546
Phone(214) 631-7546
Fax(214) 631-8546
Organization SubpartNo
Authorized OfficialKristel D. PolderOwner · (214) 631-7546
Enumeration DateDecember 30, 2015
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1982069399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
8201 PRESTON RD, Dallas, TX 75225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dallas Center For Dermatology And Aesthetics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dallas Center For Dermatology And Aesthetics PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lori Stetler, M.D.
Dermatology
NPI 1235137357
8201 PRESTON RD STE 350
Dallas, TX 75225
(214) 631-7546
✔ PECOS✔ Accepts MedicareSame address
Hattie Feetham, M.D.
Dermatology
NPI 1780942474
8201 PRESTON RD STE 350
Dallas, TX 75225
(214) 631-7546
✔ PECOS✔ Accepts MedicareSame address
Kristel Polder, M.D.
Dermatology
NPI 1629234364
8201 PRESTON RD. STE 350
Dallas, TX 75225
(214) 631-7546
✔ 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.

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) 45D0918559

Dallas Center For Dermatology & Aesthetics, PLLC · Dallas, TX
Active · expires Aug 12, 2028
CLIA Number45D0918559
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorLori D. Stetler
Laboratory Phone(214) 631-7546
Laboratory LocationDallas Center For Dermatology & Aesthetics, PLLC8201 Preston Road Suite 350, Dallas, TX 75225
CLIA data matches this NPI record on: Address Phone
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.

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 Dallas Center For Dermatology And Aesthetics PLLC's NPI number?

The NPI number for Dallas Center For Dermatology And Aesthetics PLLC is 1982069399. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Dallas Center For Dermatology And Aesthetics PLLC located?

Dallas Center For Dermatology And Aesthetics PLLC is located at 8201 Preston Rd Ste 350, Dallas, TX 75225. The listed phone number is (214) 631-7546.

What is Dallas Center For Dermatology And Aesthetics PLLC's specialty?

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

Is Dallas Center For Dermatology And Aesthetics PLLC enrolled in Medicare?

Yes. Dallas Center For Dermatology And Aesthetics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dallas Center For Dermatology And Aesthetics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dallas Center For Dermatology And Aesthetics PLLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dallas Center For Dermatology And Aesthetics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0918559) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dallas Center For Dermatology And Aesthetics PLLC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.