Individual provider Active NPI

Claire Smith Reddick, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1689870735
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N6608 Issued in TX
Practice address
9301 N Central Expy Ste 470
Dallas, TX 75231-0803
Phone
(214) 506-1115
Fax
(214) 435-6688
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X N6608 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 470
Dallas, TX 75231-0803

Mailing address

9301 N Central Expy Ste 470
Dallas, TX 75231-0803
Phone (214) 506-1115

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120125000764 TX Practitioner - Dermatology 2668649021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin and Reddick Dermatology PLLCGroup PAC ID 8921331919, 5 clinicians

Practice addresses (Care Compare)

9301 N Central Expy
Suite 470
Dallas, TX 75231-0803
Phone (214) 506-1115

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions473
Removal or shaving of skin growth1-10
Skin biopsy112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Single Specialty CurrentSince Nov 22, 2018 Accepting new patients
Austin & Reddick Dermatology, PLLC Single Specialty CurrentSince Jul 2, 2019 Accepting new patients

Locations

9301 N Central Expy
Ste 470
Dallas, TX 75231
Phone (214) 506-1115

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

12740 Hillcrest Rd
Ste 200
Dallas, TX 75230
Phone (972) 386-9600

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00023

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1689870735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310803",
            "telephone_number": "214-506-1115",
            "fax_number": "214-435-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310803",
            "telephone_number": "214-506-1115",
            "fax_number": "214-435-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "CLAIRE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N6608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.