Pediatric Dermatology of Dallas, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

4021 Issued in TX

Legal business name

PEDIATRIC DERMATOLOGY OF DALLAS, PA

Practice address

9900 N Central Expy
Suite #225
Dallas, TX 75231-4395

Phone

(214) 384-7445

Fax

(214) 363-8530

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Kerry Robin Carder, MDNPI 1952370405

Title

President

Phone

(214) 580-1011

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Robin Carder, MD

  • Pediatric Dermatology Physician
  • Dallas, TX
  • NPI 1952370405
  NPD (past) Authorized official
• Henry Maurice Carder, MD

  • Otolaryngology Physician
  • Dallas, TX
  • NPI 1831295021
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1477696466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 WALNUT HILL LN STE 135",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314225",
            "telephone_number": "214-580-1011",
            "fax_number": "214-580-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY",
            "address_2": "SUITE #225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314395",
            "telephone_number": "214-384-7445",
            "fax_number": "214-363-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DERMATOLOGY OF DALLAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-580-1011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Anesthesia Associates
• Pediatric Associates of Dallas
• Pediatric Cardiac Intensivists of North Texas PLLC
• Pediatric Cardiology Associates of Houston LLC, William P. Laird, MBR.
• Pediatric Care for Kids, PA
• Pediatric ENT Associates
• Pediatric Enterprises of Texas Inc (Milestone Therapy Services)
• Pediatric Hematology Oncology of North Texas
• Pediatric Home Healthcare, LLC
• Pediatric Network Foundation (The Sensory STAR Center of Texas)

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.