Dermasurgery Specialist, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMASURGERY SPECIALIST, PLLC

Doing business as

Skin Surgery Institute (of DFW)

Practice address

2020 W State Highway 114 Ste 340
Grapevine, TX 76051-8650

Phone

(817) 464-5000

NPI assigned

Oct 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Saira B Momin, DONPI 1841458619

Title

Owner/President

Phone

(817) 464-5000

Specialties & licenses 1

Addresses

Other names 1

• Skin Surgery Institute (of DFW) Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saira Banoo Momin, DO

  • MOHS-Micrographic Surgery Physician
  • Grapevine, TX
  • NPI 1841458619
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541289600000",
    "number": "1063988541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 MCKINNON ST APT 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011636",
            "telephone_number": "281-744-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W STATE HIGHWAY 114 STE 340",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518650",
            "telephone_number": "817-464-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMASURGERY SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-11-04",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-464-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Surgery Institute (of DFW)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy Delgado
• Katrina Yvonne Deloney, LPC-S
• Robert V. Demartini, M.D.
• Dental Provider Resources 4
• Amy Louise Depue, D.O.
• Dermatology Solutions PLLC
• Julianne Devlin, BCBA
• DFW Neighborhood Home Care, LLC
• DFW Plastic Surgery
• DFW Smiles, PLLC

• MOHS-Micrographic Surgery Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.