Dallas Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K8565 Issued in TX

Legal business name

DALLAS DERMATOLOGY, LLC

Practice address

763 E US Highway 80
Suite 200
Forney, TX 75126-8633

Phone

(972) 563-8500

Fax

(972) 563-8501

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Candace Walding

Title

Billing Manager

Phone

(972) 563-8500

Specialties & licenses 2

Addresses

Other names 1

• Forney Dermatology Doing business as

Locations

Practitioners 1

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

• Ashraf Ali Currimbhoy, PAC

  • Physician Assistant
  • Forney, TX
  • NPI 1336470376
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1760495352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80",
            "address_2": "SUITE 200",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268633",
            "telephone_number": "972-563-8500",
            "fax_number": "972-563-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80",
            "address_2": "SUITE 200",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268633",
            "telephone_number": "972-563-8500",
            "fax_number": "972-563-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "WALDING",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "972-563-8500"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K8565",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "K8565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forney Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffani Lynne Curtis
• CVS Pharmacy Inc
• CVS Pharmacy, Inc.
• Shavetta Donnetta Dabney
• Dallas County Hospital District
• Dallas Elite Tas Services
• Dallas Transition Services LLC
• Emily Danahy, DDS
• Daniel & Max, LLC
• Taylor Grace Darland

• Dermatology Physician in Forney, TX
• Providers in Forney, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.