Dermatology & Skin Surgery Institute of North Texas, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMATOLOGY & SKIN SURGERY INSTITUTE OF NORTH TEXAS, P.A.

Practice address

3535 Victory Group Way Ste 200
Frisco, TX 75034-6721

Phone

(972) 712-5100

Fax

(972) 712-5113

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Brent Spencer, MDNPI 1861650947

Title

President

Phone

(972) 712-5100

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCGHAA

Practitioners 3

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

• Brent Austin Spencer, M.D.

  • MOHS-Micrographic Surgery Physician
  • Frisco, TX
  • NPI 1861650947

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Meridith Ann McGuffey, PA

  • Physician Assistant
  • Frisco, TX
  • NPI 1427455310
  Medicare reassignment Care Compare group
• Elyse A. Spencer, PA-C

  • Physician Assistant
  • Frisco, TX
  • NPI 1740243096
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1245468917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346721",
            "telephone_number": "972-712-5100",
            "fax_number": "972-712-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346721",
            "telephone_number": "972-712-5100",
            "fax_number": "972-712-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN SURGERY INSTITUTE OF NORTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-712-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX ID NUMBER",
            "identifier": "0062SQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Spa of Texas PC
• Dentium Pediatric Dental P.C. (Sheer Smiles Pediatric Dentistry)
• Randal N Denton, PT, OCS, DPT
• Rene A Deras Alvarenga, DPM
• Derek J Lejeune MD PA
• Dermatology Consultants of Frisco, P.a.
• Ekta Desai
• Gauri K Desai
• Krupa Desai
• Nirmit Dilip Desai, M.D., M.P.H.

• MOHS-Micrographic Surgery Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.