DFW Skin Surgery Center, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DFW SKIN SURGERY CENTER, PLLC

Practice address

1115 W Randol Mill Rd Ste 200
Arlington, TX 76012-2577

Phone

(817) 303-6647

Fax

(817) 303-6651

NPI assigned

Nov 11, 2011

Organization subpart

No

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

Authorized official

Name

Alexander L Berlin, MDNPI 1053499301

Title

President

Phone

(817) 303-6647

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: aberlin@dfwskinsurgery.dsm.phimailbox.com

Practitioners 1

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

• Alexander L Berlin, MD

  • Dermatology Physician
  • Arlington, TX
  • NPI 1053499301
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1972880433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W RANDOL MILL RD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W RANDOL MILL RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122577",
            "telephone_number": "817-303-6647",
            "fax_number": "817-303-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 E Southlake Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926687",
            "country_code": "US",
            "telephone_number": "817-303-6647",
            "fax_number": "817-303-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DFW SKIN SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-303-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N3492",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aberlin@dfwskinsurgery.dsm.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF, JPG, CSV files",
            "address_1": "1115 W Randol Mill Rd Ste 200",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760122577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• DFW Pioneer Adc
• DFW Stadium Dental PC
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• DFWP&Ic, LLC
• Sanjay Dhakal
• Dharmesh Bhakta, DPM, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.