Organization Active NPI

Mansfield Dermatology, PLLC

  • Dermatology Physician
  • Mansfield, TX
National Provider Identifier
1598913253
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MANSFIELD DERMATOLOGY, PLLC
Practice address
130 Regency Pkwy
Mansfield, TX 76063-5167
Phone
(817) 539-0959
Fax
(817) 207-4188
NPI assigned
Sep 5, 2008
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Jeannine K Hoang, M.D.NPI 1578513933
Title
President/Physician
Phone
(817) 539-0959

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
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

130 Regency Pkwy
Mansfield, TX 76063-5167

Mailing address

130 Regency Pkwy
Mansfield, TX 76063-5167
Phone (817) 539-0959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000790 TX Part B Supplier - Clinic/Group Practice 2769545458 Receives reassigned benefits from 20 practitioners
Practice locations: Arlington, TX; Mansfield, 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
45D1066135Mansfield Dermatology130 Regency Parkway, Mansfield, TX 76063ComplianceApr 28, 2028

National Provider Directory

National Provider Directory

Locations

3132 Matlock Rd
Ste 307
Arlington, TX 76015
Phone (817) 468-3131

2800 E Broad St
Ste 408
Mansfield, TX 76063
Phone (469) 466-6524

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1598913253",
    "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": "817-539-0959",
            "fax_number": "817-207-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635167",
            "telephone_number": "817-539-0959",
            "fax_number": "817-207-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "817-539-0959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.