All Skin Dermatology, PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

ALL SKIN DERMATOLOGY, PLLC

Practice address

2637 Plaza Pkwy
Wichita Falls, TX 76308-3889

Phone

(940) 239-9160

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Grace Ayandibu, MD, MSNPI 1023395928

Title

Medical Director

Phone

(940) 239-9160

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Grace Ayandibu, M.D, M.S, LPC

  • Procedural Dermatology Physician
  • Wichita Falls, TX
  • NPI 1023395928
  Medicare reassignment Care Compare group NPD Authorized official
• Erin Roberts, MD

  • Dermatology Physician
  • Denton, TX
  • NPI 1891146130
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1760194443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 PLAZA PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083889",
            "telephone_number": "940-239-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 PLAZA PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083889",
            "telephone_number": "940-239-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SKIN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "AYANDIBU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "940-239-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Alexander, D.O.
• Wendy Alexander, PA
• Carl Joseph Alfert
• Elmer A Alger, MD
• All Family Chiropractic Inc.
• Madalyne Marie Allen, LPC
• Shawnna N Allen, RBT
• Allen'S Nutech Inc.
• Allergy Care, PLLC
• Allergy Center, P.a.

• Procedural Dermatology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.