Organization Active NPI

Frisco Dermatology Associates

Doing business as Rodgers Dermatology

  • Medical Specialty Clinic/Center
  • Frisco, TX
National Provider Identifier
1427162122
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M2776 Issued in TX
Legal business name
FRISCO DERMATOLOGY ASSOCIATES
Doing business as
Rodgers Dermatology
Practice address
3880 Parkwood Blvd
Suite 102
Frisco, TX 75034-1928
Phone
(972) 704-2400
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Timothy RodgersNPI 1255395067
Title
President
Phone
(972) 704-2400

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
Medical Specialty Clinic/Center 261QM2500X M2776 TX Primary

Addresses

Primary practice location

3880 Parkwood Blvd
Suite 102
Frisco, TX 75034-1928

Mailing address

3880 Parkwood Blvd
Suite 102
Frisco, TX 75034-1928

Other practice location 1

2120 Prairie Dr Ste 101
Prosper, TX 75078-3818
Phone (972) 645-8222

Other names 1

  • Rodgers Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000670 TX Part B Supplier - Clinic/Group Practice 4789683665 Receives reassigned benefits from 6 practitioners
Practice locations: Frisco, TX; Prosper, TX

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
45D1053408Rodgers Dermatology3880 Parkwood Blvd,Suite 102, Frisco, TX 75034ComplianceSep 22, 2026

National Provider Directory

National Provider Directory

Locations

3880 Parkwood Blvd
Ste 102
Frisco, TX 75034
Phone (972) 704-2400

Practitioners & affiliated clinicians

Practitioners 7

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1427162122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD",
            "address_2": "SUITE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD",
            "address_2": "SUITE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341928",
            "telephone_number": "972-704-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Prairie Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750783818",
            "country_code": "US",
            "telephone_number": "972-645-8222",
            "fax_number": "972-521-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRISCO DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-704-2400"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodgers Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.