Individual provider Active NPI

Connie Tran Fiore, M.D.

  • Dermatology Physician
  • Frisco, TX
National Provider Identifier
1902254501
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S6613 Issued in TX
Practice address
5285 Independence Pkwy Ste 300
Frisco, TX 75035-4643
Phone
(972) 316-4555
NPI assigned
May 25, 2016
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S6613 TX Primary
Dermatopathology Physician 207ND0900X S6613 TX

Addresses

Primary practice location

5285 Independence Pkwy Ste 300
Frisco, TX 75035-4643

Mailing address

7405 Collin McKinney Pkwy
McKinney, TX 75070-2773
Phone (817) 705-3112

Other practice location 1

6000 W Spring Creek Pkwy
Plano, TX 75024-3578
Phone (972) 316-4555

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309001592 TX Practitioner - Dermatology 6204117906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

12850 N Dallas Pkwy
Suite 300
Frisco, TX 75034-4291
Phone (469) 214-5202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions258
Skin biopsy69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S6613TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bare Derm Group Inc Dermatology CurrentSince Dec 1, 2024 Accepting new patients
Dr Michael McGuiness, PA Dermatology CurrentSince Mar 15, 2023 Accepting new patients
Derm Texas LLC Dermatology PastSince Jul 20, 2021 Accepting new patients
Wise Clinical Care Associates PastSince Dec 1, 2024 Accepting new patients

Locations

2110 Research Row
Ste 310
Dallas, TX 75235
Phone (972) 797-9297

9201 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 286-6489

12850 Dallas Pkwy
Ste 300
Frisco, TX 75033
Phone (469) 214-5202

5285 Independence Pkwy
Ste 300
Frisco, TX 75035

27045 E University Dr
Ste 1A
Little Elm, TX 76227
Phone (972) 213-6210

152 Brand
Ste 100
Murphy, TX 75094
Phone (214) 615-1735

1005 W Ralph Hall Pkwy
Ste 207
Rockwall, TX 75032
Phone (972) 483-9228

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1902254501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 COLLIN MCKINNEY PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702773",
            "telephone_number": "817-705-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 INDEPENDENCE PKWY STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354643",
            "telephone_number": "972-316-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 W Spring Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243578",
            "country_code": "US",
            "telephone_number": "972-316-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIORE",
        "first_name": "CONNIE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S6613",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "S6613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.