Organization Active NPI

Word Dermatology PLLC

  • Dermatology Physician
  • Waxahachie, TX
National Provider Identifier
1932561867
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
Q5739 Issued in TX
Legal business name
WORD DERMATOLOGY PLLC
Practice address
2460 N I 35
Suite 285
Waxahachie, TX 75165-5266
Phone
(972) 736-3376
Fax
(972) 736-3375
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Andrew WordNPI 1427314863
Title
President
Phone
(972) 736-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Q5739 TX Primary

Addresses

Primary practice location

2460 N I 35
Suite 285
Waxahachie, TX 75165-5266

Mailing address

2460 N I 35
Suite 285
Waxahachie, TX 75165-5266
Phone (972) 736-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811002302 TX Part B Supplier - Clinic/Group Practice 9931493095 Receives reassigned benefits from 4 practitioners
Practice locations: Waxahachie, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2113351Word Dermatology, PLLC2460 North I-35 Suite 285, Waxahachie, TX 75165ComplianceOct 17, 2027

National Provider Directory

National Provider Directory

Locations

220 E Highway 287
Ste 200
Midlothian, TX 76065

220 US Highway 287
#200
Midlothian, TX 76065
Phone (732) 463-7546

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACGAD

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1932561867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N I 35",
            "address_2": "SUITE 285",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655266",
            "telephone_number": "972-736-3376",
            "fax_number": "972-736-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N I 35",
            "address_2": "SUITE 285",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655266",
            "telephone_number": "972-736-3376",
            "fax_number": "972-736-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "WORD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-736-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.