TEXAS DERMATOLOGY ASSOCIATES PA
NPI 1720207392
Specialist in Dallas, TX
NPI Status: Active since April 24, 2007
Contact Information
3900 JUNIUS ST
SUITE 245
DALLAS, TX
ZIP 75246
Phone: (972) 386-7546
Fax: (972) 701-8008
- Organization
- Specialist
- CLIA Number: 45D0692602
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2026
About TEXAS DERMATOLOGY ASSOCIATES PA
This page provides the complete NPI Profile along with additional information for Texas Dermatology Associates Pa, a provider established in Dallas, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1720207392 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number E5411 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Martin Alan Menter M.d. (President)
- NPI
- 1720207392
- Provider Name
- TEXAS DERMATOLOGY ASSOCIATES PA
- Entity Type
- Organization
- Location Address
- 3900 JUNIUS ST SUITE 245 DALLAS, TX 75246
- Location Phone
- (972) 386-7546
- Location Fax
- (972) 701-8008
- Mailing Address
- 3900 JUNIUS ST SUITE 245 DALLAS, TX 75246
- Mailing Phone
- (972) 386-7546
- Mailing Fax
- (972) 701-8008
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2007
- Last Update Date
- 03-20-2008
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- E5411
- License State
- TX
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 45D0692602
- Facility Type
- Physician Office
- Certificate Effective Date
- July 01, 2024
- Certificate Expiration Date
- June 30, 2026
- Laboratory Director
- ALPESH D. DESAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Texas Dermatology Associates Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
1 | 7 | 2 | 0 | 2 | 0 | 7 | 3 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 4 | 0 | 14 | 3 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 4 + 0 + 1 + 4 + 3 + 1 + 8 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1720207392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1588638555 | DR. DANNY K MCCOY MD Individual | Dermatology | 3900 JUNIUS ST SUITE 145 DALLAS, TX 75246 (972) 386-7546 |
1912966045 | CHRISTOPHER A HEBERT MD Individual | Internal Medicine (Nephrology) | 3900 JUNIUS ST SUITE 615 DALLAS, TX 75246 (972) 388-5970 |
1043268907 | DR. MARTIN ALAN MENTER MD Individual | Dermatology | 3900 JUNIUS ST SUITE 145 DALLAS, TX 75246 (972) 386-7546 |
1063423911 | ORTHOPEDIC ASSOCIATES OF DALLAS LLP Organization | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1255641213 | FERTILITY CENTER OF DALLAS Organization | Clinical Medical Laboratory | 3900 JUNIUS ST SUITE 610 DALLAS, TX 75246 (214) 823-2692 |
1487937850 | EASTSIDE KIDNEY CONSULTANTS, PLLC Organization | Internal Medicine (Nephrology) | 3900 JUNIUS ST SUITE 615 DALLAS, TX 75246 (972) 388-5970 |
1730495037 | SANA MAHMOOD AHMED MD Individual | Internal Medicine (Nephrology) | 3900 JUNIUS ST SUITE 615 DALLAS, TX 75246 (972) 388-5970 |
1740270206 | JAMES W BRODSKY MD Individual | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1083604458 | VIRGIL B MEDLOCK MD Individual | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1255321634 | CHRISTIAN T ROYER MD Individual | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1790776821 | JAMES M LANCASTER MD Individual | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1760685705 | VEERABHADRA K. REDDY MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1407075617 | DR. MATTHEW NEVITT Individual | Orthopaedic Surgery (Hand Surgery) | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (214) 823-7090 |
1891036588 | BAYLOR UNIVERSITY MEDICAL CENTER Organization | Clinic/Center (Radiology) | 3900 JUNIUS ST SUITE 100 DALLAS, TX 75246 (214) 820-6900 |
1871580621 | DEVESH RAMNATH MD Individual | Orthopaedic Surgery | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (469) 800-7200 |
1437470077 | DR. CAITRIONA RYAN MB BCH BAO Individual | Dermatology | 3900 JUNIUS ST SUITE 145 DALLAS, TX 75246 (469) 321-6764 |
1689931677 | MS. ASHTON BROOKE WANT P.A.-C Individual | Physician Assistant (Medical) | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (469) 800-7200 |
1538548177 | NORTH STAR MCD, LLC Organization | Clinic/Center (Radiology) | 3900 JUNIUS ST SUITE 705 DALLAS, TX 75246 (972) 649-6460 |
1164729513 | THOMAS OLIVER GARRAD PA-C Individual | Physician Assistant (Medical) | 3900 JUNIUS ST SUITE 500 DALLAS, TX 75246 (469) 800-7200 |
1790076867 | KIMBERLY CHACHERE COKER M.S., CCC-SLP Individual | Speech-Language Pathologist | 3900 JUNIUS ST SUITE 230 DALLAS, TX 75246 (469) 800-7734 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720207392, enumerated in the NPI registry as an "organization" on April 24, 2007
The provider is located at 3900 Junius St Suite 245 Dallas, Tx 75246 and the phone number is (972) 386-7546
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider's CLIA number is 45D0692602 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 24, 2007. 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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