Active NPI
United Dermatology Associates of Arlington, PLLC
Doing business as United Dermatology Associates, PLLC
- Dermatology Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- UNITED DERMATOLOGY ASSOCIATES OF ARLINGTON, PLLC
- Doing business as
- United Dermatology Associates, PLLC
- Practice address
- 3132 Matlock Rd Ste 307
Arlington, TX 76015-2922 - Phone
- (817) 539-0959
- Fax
- (817) 207-4188
- NPI assigned
- May 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannine K Hoang, MD
- Title
- Owner
- Phone
- (817) 261-1122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
3132 Matlock Rd Ste 307
Arlington, TX 76015-2922
Mailing address
130 Regency Pkwy
Mansfield, TX 76063-5167
Phone (817) 261-1122
Other names 1
- United Dermatology Associates, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2231239 | United Dermatology Associates of Arlington PLLC | Provider-performed microscopy | Jul 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
400 N Queen St
Palestine, TX 75801
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Mansfield, TX
- NPI 1578513933
-
- Physician Assistant
- Prosper, TX
- NPI 1932381696
-
- Physician Assistant
- Colleyville, TX
- NPI 1821617556
-
- Physician Assistant
- Arlington, TX
- NPI 1881853786
-
- Physician Assistant
- Mansfield, TX
- NPI 1548998800
-
- Physician Assistant
- Flower Mound, TX
- NPI 1275199002
-
- Physician Assistant
- Mansfield, TX
- NPI 1740630987
-
- Physician Assistant
- Garland, TX
- NPI 1659636488
-
- Physician Assistant
- Mansfield, TX
- NPI 1669857595
-
- Physician Assistant
- Burleson, TX
- NPI 1922777838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1386228930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 REGENCY PKWY",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635167",
"telephone_number": "817-261-1122",
"fax_number": "817-207-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 MATLOCK RD STE 307",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152922",
"telephone_number": "817-539-0959",
"fax_number": "817-207-4188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED DERMATOLOGY ASSOCIATES OF ARLINGTON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A",
"authorized_official_last_name": "HOANG",
"authorized_official_first_name": "JEANNINE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-261-1122",
"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": [
{
"organization_name": "United Dermatology Associates, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.