NPIMap

Organization Active NPI

Dermatology Institute

  • Dermatology Physician
  • Duncanville, TX
National Provider Identifier
1124200985
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G2880 Issued in TX
Legal business name
DERMATOLOGY INSTITUTE
Practice address
706 W Center St
Duncanville, TX 75116-4568
Phone
(972) 780-0707
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Sandy Mahoney
Title
Office Manager
Phone
(972) 780-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G2880 TX Primary

Addresses

Primary practice location

706 W Center St
Duncanville, TX 75116-4568

Mailing address

706 W Center St
Duncanville, TX 75116-4568
Phone (972) 780-0707

National Provider Directory

National Provider Directory

Locations

706 W Center St
Duncanville, TX 75116
Phone (972) 780-0707

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/OUq4sfoCPKtQL-ACHoGyRXMXcfN_WjFC/

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1124200985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "972-780-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "972-780-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-780-0707"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.