Organization Active NPI

Total Dermatology Bellaire, PLLC

  • Dermatology Physician
  • Bellaire, TX
National Provider Identifier
1750232583
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TOTAL DERMATOLOGY BELLAIRE, PLLC
Practice address
6565 West Loop S Ste 800
Bellaire, TX 77401-3505
Phone
(713) 305-6600
Fax
(832) 975-8425
NPI assigned
Feb 6, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Craig Forest Teller, MDNPI 1851351357
Title
MD
Phone
(713) 305-6600

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: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

6565 West Loop S Ste 800
Bellaire, TX 77401-3505

Mailing address

4811 Maple St
Bellaire, TX 77401-5728
Phone (713) 305-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319000190 TX Part B Supplier - Clinic/Group Practice 6507340429 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6565 West Loop S
Ste 800
Bellaire, TX 77401
Phone (713) 305-6600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1750232583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 MAPLE ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015728",
            "telephone_number": "713-305-6600",
            "fax_number": "832-975-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 800",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-305-6600",
            "fax_number": "832-975-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DERMATOLOGY BELLAIRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "TELLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "713-305-6600",
        "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": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.