Organization Active NPI

Lockhart Matter Dermatology PLLC

  • Dermatology Physician
  • Prosper, TX
National Provider Identifier
1114682846
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LOCKHART MATTER DERMATOLOGY PLLC
Practice address
1030 S. Coit Rd
Prosper, TX 75078
Phone
(972) 769-3376
Fax
(469) 869-3376
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Michelle Stephens
Title
Practice Administartor
Phone
(469) 553-1030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X

Addresses

Primary practice location

1030 S. Coit Rd
Prosper, TX 75078

Mailing address

1030 S. Coit Rd
Prosper, TX 75078
Phone (469) 769-3376

Other practice location 1

5805 Coit Rd Ste 203
Plano, TX 75093-6990
Phone (469) 769-3376

Other practice location 2

2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964
Phone (469) 769-3376

Other names 1

  • Lockhart Matter Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223000633 TX Part B Supplier - Clinic/Group Practice 6709275878 Receives reassigned benefits from 6 practitioners
Practice locations: Prosper, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1102561Lockhart Matter Dermatology McKinney2760 Virginia Pkway Suite 200, McKinney, TX 75071Provider-performed microscopyAug 18, 2026
45D2307728Lockhart Matter Dermatology Plano5805 Coit Road Ste 203, Plano, TX 75093ComplianceMar 23, 2027

National Provider Directory

National Provider Directory

Locations

5805 Coit Rd
Plano, TX 75093
Phone (972) 754-8205

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1114682846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S. COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "469-769-3376",
            "fax_number": "469-869-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S. COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "972-769-3376",
            "fax_number": "469-869-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Coit Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750936990",
            "country_code": "US",
            "telephone_number": "469-769-3376",
            "fax_number": "469-389-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2760 Virginia Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750714964",
            "country_code": "US",
            "telephone_number": "469-769-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOCKHART MATTER DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTARTOR",
        "authorized_official_telephone_number": "469-553-1030"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lockhart Matter Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.