Derm on Demand, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERM ON DEMAND, LLC

Doing business as

Derm On Demand
Wellworx Dermatology of Carrollton

Practice address

1932 Walnut PLZ
Carrollton, TX 75006-5810

Phone

(469) 592-7000

NPI assigned

Sep 17, 2019

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan PhamNPI 1407173230

Title

Managing Member

Phone

(817) 718-3571

Specialties & licenses 1

Addresses

Other names 2

• Derm On Demand Doing business as
• Wellworx Dermatology of Carrollton Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Ryan Pham, D.O

  • Dermatology Physician
  • Burleson, TX
  • NPI 1407173230
  Medicare reassignment NPD Authorized official
• Hong DO, FNP-BC

  • Nurse Practitioner
  • Burleson, TX
  • NPI 1639683576
  Medicare reassignment NPD
• Stacey Lopez, PA-C

  • Physician Assistant
  • Burleson, TX
  • NPI 1134769292
  Medicare reassignment

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1780234237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 WALNUT PLZ",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065810",
            "telephone_number": "817-718-3571",
            "fax_number": "469-900-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 WALNUT PLZ",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065810",
            "telephone_number": "469-592-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM ON DEMAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-718-3571"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derm On Demand",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellworx Dermatology of Carrollton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Jean Denton, D.D.S.
• Betty Anne Derryberry, M.ED
• Arpan Desai, D.O.
• Jashica Desai
• Durga V Devarakonda, D.M.D
• Andrea Dewitt, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.