Dianne Sherill Davis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S2974 Issued in TX

Practice address

977 Raintree Cir Ste 120
Allen, TX 75013-5024

Phone

(972) 338-4528

Fax

(972) 662-8279

NPI assigned

Jun 12, 2014

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

George Washington University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddavis@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bare Derm Group Inc

  dba Bare Dermatology

  • Dermatology Physician
  • Dallas, TX
  • NPI 1053029348
  Medicare reassignment Care Compare group NPD
• Hopkins Dermatology Apmc

  dba Hopkins Dermatology Texas PLLC

  • Dermatology Physician
  • Southlake, TX
  • NPI 1760075253
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Vitalogy Skincare

  • Dermatology Physician
  • Georgetown, TX
  • NPI 1366018848
  Medicare reassignment NPD
• Siu Physicians & Surgeons, Inc

  dba SIU HealthCare

  • Endocrinology, Diabetes & Metabolism Physician
  • Springfield, IL
  • NPI 1558385989

  Dermatology

  Medicare reassignment NPD
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994
  NPD
• Siu Physicians & Surgeons, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, IL
  • NPI 1164055976
  NPD
• Derm Texas LLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1386215002
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1114331634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464721",
            "telephone_number": "512-328-3376",
            "fax_number": "512-666-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 RAINTREE CIR STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135024",
            "telephone_number": "972-338-4528",
            "fax_number": "972-662-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8825 Bee Caves Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787464721",
            "country_code": "US",
            "telephone_number": "512-328-3376",
            "fax_number": "512-666-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANNE",
        "middle_name": "SHERILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M. Dautel, OTA
• Madison Davenport
• David Edwards MD PA (Family Practice Associates)
• David L. Falkstein, PH.D., L.L.C.
• Candace David, LPC, LCDC, CEDS
• Jason A Davis, MD
• Jesse Davis
• Meredith Davis, DDS
• Natalie Kay Davis, RN
• Summer Davis, LPC ASSOCIATE

• Dermatology Physician in Allen, TX
• Providers in Allen, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.