NPIMap

Organization Active NPI

True Dermatology PLLC

  • Dermatology Physician
  • Fayetteville, AR
National Provider Identifier
1386022283
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TRUE DERMATOLOGY PLLC
Practice address
1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196
Phone
(479) 876-8550
Fax
(479) 208-4266
NPI assigned
May 12, 2015
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Ms. Carla Mills
Title
Billing Manager
Phone
(479) 876-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196

Mailing address

1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196
Phone (479) 876-8550

Other practice location 1

1110 SE 30th St
Bentonville, AR 72712-4290
Phone (479) 876-8550

Other practice location 2

14 Riordan Rd
Bella Vista, AR 72714-3516
Phone (479) 876-8550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708001957 AR Part B Supplier - Clinic/Group Practice 4082926803 Receives reassigned benefits from 15 practitioners
Practice locations: Bella Vista, AR; Bentonville, AR; Fayetteville, AR

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2104614True Dermatology PLLC14 Riordan Rd, Bella Vista, AR 72714Provider-performed microscopyNov 8, 2027
04D2129901True Dermatology, PLLC1651 E Stearns, Ste 110, Fayetteville, AR 72703Provider-performed microscopyApr 26, 2027

National Provider Directory

National Provider Directory

Locations

14 Riordan Rd
Bella Vista, AR 72714
Phone (479) 876-8550

1438 E Augustine Ln
Ste 2
Fayetteville, AR 72703
Phone (479) 335-5777

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1386022283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124290",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Riordan Rd",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727143516",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-876-8520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.