Texas Mohs Surgery and Skin Cancer Center, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

M3726 Issued in TX

Legal business name

TEXAS MOHS SURGERY AND SKIN CANCER CENTER, PLLC

Practice address

411 N Washington Ave
Suite 1200
Dallas, TX 75246-1744

Phone

(214) 396-5227

NPI assigned

Sep 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Frank Charles Saporito, M.D.NPI 1679538763

Title

President

Phone

(214) 396-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dallas Skin Cancer Center Doing business as

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

Practitioners 2

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

• Frank C. Saporito, M.D.

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
  • NPI 1679538763
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Wilder, M.D.

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
  • NPI 1780027052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1972906592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461744",
            "telephone_number": "214-396-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461744",
            "telephone_number": "214-396-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MOHS SURGERY AND SKIN CANCER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "SAPORITO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-396-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358056501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Skin Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• MOHS-Micrographic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.