Center for Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR DERMATOLOGY

Practice address

1100 Orchard Dr Ste B
Arlington, TX 76012

Phone

(682) 712-0100

NPI assigned

Apr 20, 2018

Last updated

Jan 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan PhamNPI 1407173230

Title

Managing Member

Phone

(817) 718-3571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Ryan Pham, D.O

  • Dermatology Physician
  • Burleson, TX
  • NPI 1407173230
  Medicare reassignment Care Compare group Authorized official
• Jack B Cohen, DO

  • Dermatology Physician
  • Dallas, TX
  • NPI 1134188279
  Medicare reassignment Care Compare group NPD
• Hong DO, FNP-BC

  • Nurse Practitioner
  • Burleson, TX
  • NPI 1639683576
  Medicare reassignment Care Compare group NPD
• Tram Ho, MPAS, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1093146805
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1164919502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122519",
            "telephone_number": "682-712-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "682-712-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-718-3571",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elida Luisa Cedillo Escalante
• Daisey Cejas
• Melissa Cejas
• Dino Cekro, M.D
• Celebrity Orthodontics, PLLC
• Center for Psychological Services, PLLC
• Center for Psychological Services, PLLC
• Center for Therapeutic Change, LTD
• Center for Theraputic Change
• Center to Rise

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.

Verify at the official NPI Registry.