Total Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TOTAL DERMATOLOGY PLLC

Doing business as

Meridien Dermatology

Practice address

3900 Junius St Ste 420
Dallas, TX 75246-1615

Phone

(646) 580-0548

NPI assigned

Feb 21, 2025

Last updated

Apr 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. So Yeon Paek, MDNPI 1790079184

Title

Manager

Phone

(972) 200-7446

Specialties & licenses 1

Addresses

Other names 1

• Meridien Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• So Yeon Paek, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1790079184
  Medicare reassignment Care Compare group NPD Authorized official
• Claire Jung, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1487439220
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1871399725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "646-580-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "PAEK",
        "authorized_official_first_name": "SO YEON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-200-7446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridien Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridien Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Total Counseling PLLC
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• Total Elder Care, LLC
• Total Health Selections LLC
• Total Hearing Aid Center, Inc
• Total Hearing Care of Dallas

• 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 14, 2025; 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.