Dallas Dermatology Partners, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DALLAS DERMATOLOGY PARTNERS, PLLC

Practice address

17051 Dallas Pkwy Ste 350
Addison, TX 75001-7107

Phone

(214) 252-9305

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa A Rubenstein, MDNPI 1164587671

Title

President

Phone

(214) 252-9305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Melissa Anne Rubenstein, MD

  • Dermatology Physician
  • Addison, TX
  • NPI 1164587671
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa I Costner, MD

  • Dermatology Physician
  • Addison, TX
  • NPI 1265491302
  Medicare reassignment Care Compare group NPD
• Lauren Baker Dickson

  • Dermatology Physician
  • Addison, TX
  • NPI 1144649468
  Medicare reassignment Care Compare group NPD
• Sonya Sunder Jagwani, M.D.

  • Dermatology Physician
  • Addison, TX
  • NPI 1316190564
  Medicare reassignment Care Compare group NPD
• Erica L Muller, M.D.

  • Dermatology Physician
  • Addison, TX
  • NPI 1699732974
  Medicare reassignment Care Compare group NPD
• Abbey Kate West

  • Physician Assistant
  • Addison, TX
  • NPI 1770357121
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1871114504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107",
            "telephone_number": "214-252-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DERMATOLOGY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-252-9305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.