Individual provider Active NPI

Max Frank Adler, MD

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1801835434
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E6202 Issued in TX
Practice address
6117 Berkshire LN
Dallas, TX 75225-5502
Phone
(214) 692-7447
NPI assigned
Jun 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E6202 TX Primary

Addresses

Primary practice location

6117 Berkshire LN
Dallas, TX 75225-5502

Mailing address

8226 Douglas Ave
Dallas, TX 75225-5927
Phone (214) 692-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000809 TX Practitioner - Dermatology 4587684915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Dermatology ,PLLCGroup PAC ID 9032492822, 8 clinicians

Practice addresses (Care Compare)

3140 Legacy Dr
Suite 110
Frisco, TX 75034-7917
Phone (972) 469-2626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions163
Removal or shaving of skin growth1-10
Skin biopsy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
E6202TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Dermatology, PLLC Dermatology CurrentSince Mar 21, 2022 Accepting new patients
Flower Mound Dermatology Dermatology Past Accepting new patients
Lawrence L Anderson MD PA Dermatology Past Accepting new patients

Locations

3140 Legacy Dr
Ste 110
Frisco, TX 75034
Phone (972) 469-2626

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-flower

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801835434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255927",
            "telephone_number": "214-692-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255502",
            "telephone_number": "214-692-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "MAX",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E6202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.