Active NPI
Advanced Associates in Dermatology, PLLC
- Dermatology Physician
- Spring, TX
National Provider Identifier
1134447949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M9017
- Legal business name
- ADVANCED ASSOCIATES IN DERMATOLOGY, PLLC
- Practice address
- 440 Rayford Rd
Suite 140
Spring, TX 77386-1918 - Phone
- (281) 385-8189
- Fax
- (281) 203-5037
- NPI assigned
- May 4, 2010
- Last updated
- Jan 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Temitope Felix Soares, M.D.
- Title
- Owner
- Phone
- (281) 385-8189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | M9017 | TX | Primary |
Addresses
Primary practice location
440 Rayford Rd
Suite 140
Spring, TX 77386-1918
Mailing address
440 Rayford Rd
Suite 140
Spring, TX 77386-1918
Phone (281) 385-8189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
28517 Spring Trails Rdg
Ste 110
Spring, TX 77386
Phone (281) 385-8189
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- Spring, TX
- NPI 1619950383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1134447949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 RAYFORD RD",
"address_2": "SUITE 140",
"city": "SPRING",
"state": "TX",
"postal_code": "773861918",
"telephone_number": "281-385-8189",
"fax_number": "281-203-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 RAYFORD RD",
"address_2": "SUITE 140",
"city": "SPRING",
"state": "TX",
"postal_code": "773861918",
"telephone_number": "281-385-8189",
"fax_number": "281-203-5037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ASSOCIATES IN DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-04",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "SOARES",
"authorized_official_first_name": "TEMITOPE",
"authorized_official_middle_name": "FELIX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-385-8189",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "M9017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.