Organization Active NPI

Texas Mohs Surgery and Skin Cancer Center, PLLC

Doing business as Dallas Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
National Provider Identifier
1972906592
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M3726 Issued in TX
Legal business name
TEXAS MOHS SURGERY AND SKIN CANCER CENTER, PLLC
Doing business as
Dallas Skin Cancer Center
Practice address
411 N Washington Ave
Suite 1200
Dallas, TX 75246-1744
Phone
(214) 396-5227
NPI assigned
Sep 28, 2014
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

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
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X M3726 TX Primary

Addresses

Primary practice location

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

Mailing address

411 N Washington Ave
Suite 1200
Dallas, TX 75246-1744
Phone (214) 396-5227

Other names 1

  • Dallas Skin Cancer Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150216000710 TX Part B Supplier - Clinic/Group Practice 9739404724 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, 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
45D2081893Texas Mohs Surgery & Skin Cancer Center PLLC411 N Washington Avenue, Suite 1200, Dallas, TX 75246ComplianceNov 5, 2027

National Provider Directory

National Provider Directory

Locations

411 N Washington Ave
Ste 1200
Dallas, TX 75246
Phone (214) 396-5227

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Skin Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • 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.