Arlington Center for Dermatology – Dermatology Physician, NPI 1265507941

Arlington Center for Dermatology is a healthcare provider. based in Arlington, Texas. specializing in Dermatology Physician. The organization holds a License No. J4627 (TX). The NPI Number for Arlington Center for Dermatology is 1265507941

Main info

Organization
Name
Arlington Center for Dermatology
NPI
1265507941
Phone
(817) 795-7546
Address
711 E LAMAR BLVD
Authorized Official
DR. ANGELA YEN MOORE EXECUTIVE OWNER MD
Enumeration Date
21 November 2006
Last Update Date
8 December 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Arlington Center for Dermatology

  • 711, East Lamar Boulevard, Arlington, Tarrant County, Texas, 76011, United States

    SUITE 200

    ARLINGTON, TX 760113888

    Phone: (817) 795-7546

    Fax: (817) 226-7546

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (282 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040809000212OClinic/Group PracticeTX2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76011)

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Reviews

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Frequently asked questions

Can I verify Arlington Center for Dermatology with an NPI only?
You can start verification with NPI 1265507941 for Arlington Center for Dermatology, then check state licensing separately.
Is Arlington Center for Dermatology still practicing?
Arlington Center for Dermatology is currently listed as active in the public NPI registry.
What healthcare role does Arlington Center for Dermatology hold?
Scheduling teams often label Arlington Center for Dermatology under Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Arlington Center for Dermatology?
Arlington Center for Dermatology's geographic hint is Arlington, Texas in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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