Dermatology Physicians of Dallas, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M0213 Issued in TX

Legal business name

DERMATOLOGY PHYSICIANS OF DALLAS, P.A.

Practice address

7777 Forest LN
Suite C-755
Dallas, TX 75230-2505

Phone

(972) 566-2600

Fax

(972) 566-2121

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Betty J Park, M.D.NPI 1851404362

Title

President

Phone

(972) 566-2600

Specialties & licenses 1

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGDBAA

Practitioners 8

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

• Jennifer Nolley, APRN-CNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1306610829
  Medicare reassignment Care Compare group NPD
• Betty J Park, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1851404362
  Medicare reassignment NPD Authorized official
• Miriam Sagher Singer, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1588865901
  Medicare reassignment Care Compare group NPD
• Anne T. Tuveson, M.D.

  • Dermatology Physician
  • Garland, TX
  • NPI 1114087079
  Medicare reassignment Care Compare group NPD
• Elaina Noel Ricci, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1194785089
  Medicare reassignment Care Compare group
• April Wiseman, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1205470747
  Medicare reassignment Care Compare group
• So Yeon Paek, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1790079184
  Medicare reassignment NPD
• Sheryl L Gyr, MPAS, PA-C

  • Physician Assistant
  • Murphy, TX
  • NPI 1578765970
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1801909346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PHYSICIANS OF DALLAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M0213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derm Texas LLC
• Peter Derman, MD
• Dermatology Consultants
• Dermatology Consultants
• Dermatology Partners of Texas PA
• Dermatology Physicians of Denton, P.a.
• Dermatology Treatment & Research Center, PA
• Gillian Deroche
• Nathan Glen Deron Jr., DO
• Shayla Derousseau, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.