Kristel Dawn Polder, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M9581 Issued in TX

Practice address

8201 Preston Rd.
Ste 350
Dallas, TX 75225

Phone

(214) 631-7546

NPI assigned

Aug 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Center for Dermatology and Aesthetics PLLCGroup PAC ID 8325344385, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Center for Dermatology and Aesthetics PLLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1982069399
  Medicare reassignment Care Compare group NPD
• Suzanne Bruce and Associates, P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1598895831
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1629234364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD",
            "address_2": "STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256203",
            "telephone_number": "214-631-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD.",
            "address_2": "STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "214-631-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLDER",
        "first_name": "KRISTEL",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M9581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricio Marcelo Polanco, MD
• Adnann S Polani, MD
• Rohitha Rao Polasani, DMD
• Ilay Polat
• Suleyman Dogan Polat, MD
• Akshaj R Pole, DO
• Polina Kaloyanova MD PA
• Lawrence Richard Poliner, MD
• Stacy Ann Polinski
• Amy Marie Polinsky, SLP-A

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.