Dermatology Specialists, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY SPECIALISTS, PA

Practice address

3005 E. Renner Road
Suite 100
Richardson, TX 75082

Phone

(792) 699-0000

Fax

(972) 699-0004

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Sandalee S Krueger

Title

Office MGR

Phone

(972) 699-0000

Specialties & licenses 2

Addresses

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

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

Practitioners 5

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

• Carole C Aponte, MD

  • Dermatology Physician
  • Richardson, TX
  • NPI 1053374033
  Medicare reassignment Care Compare group NPD
• Cameron L Coury, MD

  • Dermatology Physician
  • Richardson, TX
  • NPI 1104020767
  Medicare reassignment Care Compare group NPD
• Leisa Lacombe Hodges, D.O.

  • Dermatology Physician
  • Murphy, TX
  • NPI 1134414725
  Medicare reassignment Care Compare group NPD
• Diana Kim Nguyen, MD

  • Dermatology Physician
  • Richardson, TX
  • NPI 1750385688
  Medicare reassignment Care Compare group NPD
• Kara Pretzlaff, M.D.

  • Dermatology Physician
  • Richardson, TX
  • NPI 1760878029
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1992813570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E RENNER RD",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823505",
            "telephone_number": "972-699-0000",
            "fax_number": "972-699-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E. RENNER ROAD",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "792-699-0000",
            "fax_number": "972-699-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "SANDALEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "972-699-0000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L0877",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.