Flower Mound Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K3823 Issued in TX

Legal business name

FLOWER MOUND DERMATOLOGY

Practice address

3821 Long Prairie Rd
Suite 100
Flower Mound, TX 75028

Phone

(972) 221-2784

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Perez, MDNPI 1962400937

Title

President

Phone

(972) 221-2784

Specialties & licenses 1

Addresses

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://app.meldrx.com/api/fhir/mi-flower

Practitioners 3

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.

• Isaac Perez, M.D.

  • Dermatology Physician
  • Flower Mound, TX
  • NPI 1962400937
  Medicare reassignment NPD Authorized official
• Max Frank Adler, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1801835434
  NPD (past)
• Ray C Vaughn, P.A.

  • Dermatology Physician
  • Flower Mound, TX
  • NPI 1912106949
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1407950009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-221-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-221-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER MOUND DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-221-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flower Mound Chiropractic PLLC
• Flower Mound Chiropractic PLLC
• Flower Mound Counseling, PLLC
• Flower Mound Dental Smiles PLLC (Active Dental Flower Mound)
• Flower Mound Dentistry Divine
• Flower Mound Emergency Care Center (First Choice Emergency Room)
• Flower Mound Endoscopy Center, LLC
• Flower Mound Eyecare Associates
• Flower Mound Eyecare Associates
• Flower Mound FS Inc (Foot Solutions)

• Dermatology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.