Organization Active NPI

Dermatology Associates LLP

  • Dermatology Physician
  • Texarkana, TX
National Provider Identifier
1245690726
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES LLP
Practice address
2011 Moores LN
Texarkana, TX 75503-1841
Phone
(903) 792-2777
Fax
(903) 794-1927
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Hayden H Franks, MDNPI 1063419307
Title
Owner/Phisician
Phone
(903) 792-2777

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2011 Moores LN
Texarkana, TX 75503-1841

Mailing address

2011 Moores LN
Texarkana, TX 75503-1841
Phone (903) 792-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426002062 TX Part B Supplier - Clinic/Group Practice 0941509996 Receives reassigned benefits from 3 practitioners
Practice locations: Texarkana, TX

National Provider Directory

National Provider Directory

Locations

1014 W Collin Raye Dr
De Queen, AR 71832
Phone (580) 286-2947

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1245690726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031841",
            "telephone_number": "903-792-2777",
            "fax_number": "903-794-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031841",
            "telephone_number": "903-792-2777",
            "fax_number": "903-794-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHISICIAN",
        "authorized_official_telephone_number": "903-792-2777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.