WESTLAKE DERMATOLOGY, PA
NPI 1437617255
Dermatology in Houston, TX

NPI Status: Active since March 11, 2019

Contact Information

2132 BISSONNET ST
HOUSTON, TX
ZIP 77005
Phone: (512) 615-2738
Fax: (281) 205-3503

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  • Organization
  • Dermatology
  • CLIA Number: 45D2186046
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-14-2026

About WESTLAKE DERMATOLOGY, PA

This page provides the complete NPI Profile along with additional information for Westlake Dermatology, Pa, a provider established in Houston, Texas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1437617255 assigned on March 2019. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Westlake Dermatology, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Gregory A. Nikolaidis Md (Owner)

NPI
1437617255
Provider Name
WESTLAKE DERMATOLOGY, PA
Entity Type
Organization
Location Address
2132 BISSONNET ST HOUSTON, TX 77005
Location Phone
(512) 615-2738
Location Fax
(281) 205-3503
Mailing Address
8825 BEE CAVES RD STE 100 AUSTIN, TX 78746
Mailing Phone
(512) 328-3376
Mailing Fax
(281) 205-3503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2019
Last Update Date
03-11-2019
Code Navigator

A dermatologist like Westlake Dermatology, Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GREGORY A. NIKOLAIDIS MD

Authorized Official Title
OWNER
Authorized Official Phone
(512) 328-3376

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2186046
Facility Type
Physician Office
Certificate Effective Date
October 15, 2024
Certificate Expiration Date
October 14, 2026
Laboratory Director
KEEMBERLY KIM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Westlake Dermatology, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437617255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246712114210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 2 + 1 + 1 + 4 + 2 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1437617255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437617255, enumerated in the NPI registry as an "organization" on March 11, 2019

The provider is located at 2132 Bissonnet St Houston, Tx 77005 and the phone number is (512) 615-2738

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider's CLIA number is 45D2186046 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 11, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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