Dallas Associated Dermatologist, PA – Dermatology Physician, NPI 1629025739
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Dallas Associated Dermatologist, PA
12700 PARK CENTRAL DR STE 1210
DALLAS, TX 752511522
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Mailing
7300 Eldorado Pkwy Ste 100
McKinney, TX 750707892
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
1940 John King Blvd
Rockwall, TX 750326457
Phone: (972) 505-2551
Fax: (972) 521-3240
Type: Location
6750 N MacArthur Blvd Ste 260
Irving, TX 750392489
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
431 E State Highway 114 Ste 300
Southlake, TX 760921484
Phone: (817) 251-6500
Fax: (817) 442-0050
Type: Location
5220 SE Loop 286
Paris, TX 754606500
Phone: (903) 609-3153
Fax: (903) 609-3155
Type: Location
21800 Katy Fwy Ste 200
Katy, TX 774497780
Phone: (713) 771-1100
Fax: (713) 771-1545
Type: Location
1919 S Shiloh Rd Ste 300
Garland, TX 750428241
Phone: (972) 278-4992
Fax: (972) 271-1597
Type: Location
9900 N CENTRAL EXPY STE 500
DALLAS, TX 752310928
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Mailing
411 N WASHINGTON AVE STE 4000
DALLAS, TX 752461776
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
5060 Tennyson Pkwy Ste 100
Plano, TX 750244168
Phone: (972) 505-2551
Fax: (972) 521-3240
Type: Location
10711 Preston Rd Ste 100
Dallas, TX 752303805
Phone: (214) 987-3376
Fax: (214) 692-6567
Type: Location
1325 W Northwest Hwy
Grapevine, TX 760513141
Phone: (817) 421-3376
Fax: (817) 416-4269
Type: Location
230 E Sycamore St Ste 305
Sherman, TX 750905013
Phone: (903) 771-4613
Fax: (903) 698-6376
Type: Location
8080 Independence Pkwy Ste 150
Plano, TX 750254006
Phone: (214) 919-3500
Fax: (214) 842-8055
Type: Location
10703 Preston Rd
Dallas, TX 752303806
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
7000 Preston Rd Ste 500
Plano, TX 750242573
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
2660 Scripture St Ste 200
Denton, TX 762014342
Phone: (940) 312-6767
Fax: (469) 532-0273
Type: Location
12700 Park Central Dr Ste B150
Dallas, TX 752511500
Phone: (214) 987-3376
Fax: (469) 532-0273
Type: Location
1042 Texan Trl Ste 200
Grapevine, TX 760513703
Phone: (972) 505-2551
Fax: (972) 521-3240
Type: Location
3321 Yucca Dr Ste 100
Flower Mound, TX 750282743
Phone: (972) 505-2551
Fax: (972) 521-3240
Type: Location
5060 Tennyson Pkwy Ste 200
Plano, TX 750244170
Phone: (214) 556-5695
Fax: (469) 609-2962
Type: Location
7445 Las Colinas Blvd
Irving, TX 750637561
Phone: (972) 726-6647
Fax: (972) 726-6797
Type: Location
3200 Broadway Blvd Ste 200
Garland, TX 750431571
Phone: (972) 271-4141
Fax: (972) 278-8691
Type: Location
12222 Coit Rd Ste 102
Dallas, TX 752512302
Phone: (972) 726-6647
Fax: (972) 726-6797
Type: Location
610 Uptown Blvd Ste 102
Cedar Hill, TX 751043528
Phone: (972) 283-8979
Fax: (469) 532-0273
Type: Location
4685 Eldorado Pkwy Ste 100
Frisco, TX 750330289
Phone: (972) 335-2727
Fax: (469) 532-0273
Type: Location
5072 W Plano Pkwy Ste 150
Plano, TX 750934474
Phone: (972) 362-9567
Fax: (214) 692-6567
Type: Location
5655 W Spring Creek Pkwy Ste 105
Plano, TX 750244176
Phone: (214) 919-3500
Fax: (214) 919-3501
Type: Location
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: 2006-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (257 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060822000094 | O | Clinic/Group Practice | TX | 2025-09-30 |
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.
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 75251)
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Reviews
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