Dermpreneur, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMPRENEUR, PLLC

Practice address

819 Peakwood Dr
Houston, TX 77090-2905

Phone

(281) 645-5013

Fax

(713) 903-7958

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Anh-Khoa Nguyen, DO, PHARMDNPI 1477014967

Title

Physician Dermatologist

Phone

(281) 645-5013

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Daniel Nguyen

  • Dermatology Physician
  • Houston, TX
  • NPI 1477014967
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1821786583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 PEAKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902905",
            "telephone_number": "281-645-5013",
            "fax_number": "713-903-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 PEAKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902905",
            "telephone_number": "281-645-5013",
            "fax_number": "713-903-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMPRENEUR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ANH-KHOA",
        "authorized_official_title_or_position": "PHYSICIAN DERMATOLOGIST",
        "authorized_official_telephone_number": "281-645-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology & Cosmetic Surgery Associates PA
• Dermatology Associates
• Dermatology Associates of Texas PLLC
• Dermatology Management Services PLLC
• Dermatology of the Southwest PA
• Daniel Dernick, D.D.S.
• Deross Provider Services Inc
• Paul Edward Deroulet, LBSW, LCDC
• Heather M Derousse, LCSW
• Jason Michael Derr, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.