Highland Dermatology and Plastic Surgery Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

F7235 Issued in TX

Legal business name

HIGHLAND DERMATOLOGY AND PLASTIC SURGERY CENTER LLC

Practice address

3607 Oak Lawn Ave
Suite 200
Dallas, TX 75219-4311

Phone

(214) 905-5075

Fax

(214) 905-0903

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By 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

Ben J Tittle, MDNPI 1699851923

Title

Owner

Phone

(214) 905-5075

Specialties & licenses 1

Addresses

Other identifiers 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.

• Ben J Tittle, MD

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1699851923
  Authorized official Same address or phone
• Rose Knight

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1699364307
  NPD (past)

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1881099315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "214-905-5075",
            "fax_number": "214-905-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 OAK LAWN AVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194311",
            "telephone_number": "214-905-5075",
            "fax_number": "214-905-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DERMATOLOGY AND PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "TITTLE",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-905-5075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "F7235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699851923",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carl L Highgenboten, MD
• Highland Dental Laboratory, LLC
• Highland Hollow Home Health Solutions, LP
• Highland Park Behavioral Medicine
• Highland Park Chirocare
• Highland Park Emergency Center LLC
• Highland Park Endodontics

• Medical Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.