NPIMap

Organization Active NPI

R Todd Plott MD PA

Doing business as Dermatology Alliance - Keller

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1134426794
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H8330 Issued in TX
Legal business name
R TODD PLOTT MD PA
Doing business as
Dermatology Alliance - Keller
Practice address
12469 Timberland Blvd
Fort Worth, TX 76244
Phone
(817) 993-0332
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Ronald Todd Plott, MDNPI 1558569087
Title
Owner/Physician
Phone
(817) 993-0332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H8330 TX Primary

Addresses

Primary practice location

12469 Timberland Blvd
Fort Worth, TX 76244

Mailing address

12469 Timberland Blvd
Fort Worth, TX 76244
Phone (817) 993-0332

Other names 1

  • Dermatology Alliance - Keller Doing business as

National Provider Directory

National Provider Directory

Locations

12469 Timberland Blvd
Fort Worth, TX 76244
Phone (817) 993-0332

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1134426794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 TIMBERLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-993-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12469 TIMBERLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-993-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R TODD PLOTT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "PLOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-993-0332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H8330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Alliance - Keller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.