Organization Active NPI

Dermatology Solutions PLLC

  • Dermatology Physician
  • Grapevine, TX
National Provider Identifier
1700369717
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY SOLUTIONS PLLC
Practice address
1600 W College St Ste LL40
Grapevine, TX 76051-3578
Phone
(214) 337-6362
Fax
(214) 337-6329
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Authorized official

Name
Dr. Sanober Amin, MD PHDNPI 1477873859
Title
Owner
Phone
(312) 451-5962

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1600 W College St Ste LL40
Grapevine, TX 76051-3578

Mailing address

516 E Byron Nelson Blvd Unit 1638
Roanoke, TX 76262-6269
Phone (214) 337-6362

Other practice location 1

609 Medical Center Dr Ste 2500
Decatur, TX 76234-3846
Phone (214) 337-6362

Other practice location 2

7226 Crawford Rd Ste 100
Argyle, TX 76226-2675
Phone (214) 337-6362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181217000078 TX Part B Supplier - Clinic/Group Practice 9234474412 Receives reassigned benefits from 3 practitioners
Practice locations: Argyle, TX; Decatur, TX; Grapevine, TX; Haslet, TX

National Provider Directory

National Provider Directory

Locations

2000 Ben Merritt Dr
Decatur, TX 76234
Phone (817) 755-0810

1600 W College St
Ste LL40
Grapevine, TX 76051
Phone (214) 337-6362

1600 W College St
Lowr
Grapevine, TX 76051

5796 E State Highway 114
Haslet, TX 76052

5796 E State Highway 114
Ste 5C
Haslet, TX 76052
Phone (214) 337-6362

516 E Byron Nelson Blvd
Unit 1638
Roanoke, TX 76262

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00090

Practitioners & affiliated clinicians

Practitioners 3

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": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1700369717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E BYRON NELSON BLVD UNIT 1638",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626269",
            "telephone_number": "214-337-6362",
            "fax_number": "214-337-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE LL40",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513578",
            "telephone_number": "214-337-6362",
            "fax_number": "214-337-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Medical Center Dr Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343846",
            "country_code": "US",
            "telephone_number": "214-337-6362",
            "fax_number": "214-337-6329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7226 Crawford Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262675",
            "country_code": "US",
            "telephone_number": "214-337-6362",
            "fax_number": "214-337-6329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SANOBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-451-5962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.