Active NPI
Juliana L Pineider
- Dermatology Physician
- Dallas, TX
National Provider Identifier
1366105462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- BP20088273
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7201 - Phone
- (817) 291-9202
- NPI assigned
- Oct 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | BP20088273 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Mailing address
1503 Caldwell Creek Dr
Colleyville, TX 76034-6631
Phone (817) 291-9202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juliana.pineider@UTSouthwestern.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20088273 | TX | MD | Dermatology Physician |
Interoperability endpoints
- juliana.pineider@utsouthwestern.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1366105462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 CALDWELL CREEK DR",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346631",
"telephone_number": "817-291-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907201",
"telephone_number": "817-291-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEIDER",
"first_name": "JULIANA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-16",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "BP20088273",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "juliana.pineider@UTSouthwestern.edu",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "5323 Harry Hines Blvd",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "753907201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.