Westlake Dermatology of Dallas PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WESTLAKE DERMATOLOGY OF DALLAS PLLC

Practice address

5445 La Sierra Dr Ste 102
Dallas, TX 75231-3464

Phone

(972) 512-4800

Fax

(214) 484-9994

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Nikolaidis, MDNPI 1033181813

Title

President

Phone

(512) 328-3376

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Gregory A. Nikolaidis

  • Dermatology Physician
  • Austin, TX
  • NPI 1033181813
  NPD Authorized official
• Amanda Hope Champlain, M.D.

  • Dermatology Physician
  • Frisco, TX
  • NPI 1003180993
  NPD
• Sivaramya Kollipara, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1295179190
  NPD

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1710537782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464721",
            "telephone_number": "512-328-3376",
            "fax_number": "512-666-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LA SIERRA DR STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313464",
            "telephone_number": "972-512-4800",
            "fax_number": "214-484-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE DERMATOLOGY OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "NIKOLAIDIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-328-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Westers, PSY.D.
• Amanda Holland Westfall, M.D.
• Ashleigh Anne Westfall, PA
• Marguerite A Westfall, CRNA
• Monica Westfield, RDN
• Westlake Dermatology, PA
• Westland Anesthesia PLLC
• Westmoreland & Arnold MD PLLC
• Westmoreland Dental & Orthodontics, PA
• Westmoreland Dental PA

• 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 Sep 12, 2019; 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.