Individual provider Active NPI

Damaris Iriondo, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1821756982
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8201 Preston Rd Ste 350
Dallas, TX 75225-6225
Phone
(214) 631-7546
Fax
(214) 631-8546
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

8201 Preston Rd Ste 350
Dallas, TX 75225-6225

Mailing address

8201 Preston Rd Ste 350
Dallas, TX 75225-6225
Phone (214) 631-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523001532 TX Practitioner - Physician Assistant 9638556103 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Center for Dermatology and Aesthetics PLLC CurrentSince Jun 2, 2024 Accepting new patients
Lori D Stetler M.D. PA PastSince Jun 2, 2024 Accepting new patients

Locations

8201 Preston Rd
Ste 350
Dallas, TX 75225
Phone (214) 631-7546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1821756982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256225",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256225",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIONDO",
        "first_name": "DAMARIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.