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

Get Directions Reviews

  • 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.

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

DR. MARTIN ALAN MENTER M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(972) 386-7546

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.

Reviews for TEXAS DERMATOLOGY ASSOCIATES PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1720207392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27404014318
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 = 22

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
1588638555DR. DANNY K MCCOY MD
Individual
Dermatology3900 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
1043268907DR. MARTIN ALAN MENTER MD
Individual
Dermatology3900 JUNIUS ST SUITE 145
DALLAS, TX 75246
(972) 386-7546
1063423911ORTHOPEDIC ASSOCIATES OF DALLAS LLP
Organization
Orthopaedic Surgery3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(214) 823-7090
1255641213FERTILITY CENTER OF DALLAS
Organization
Clinical Medical Laboratory3900 JUNIUS ST SUITE 610
DALLAS, TX 75246
(214) 823-2692
1487937850EASTSIDE 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 Surgery3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(214) 823-7090
1083604458 VIRGIL B MEDLOCK MD
Individual
Orthopaedic Surgery3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(214) 823-7090
1255321634 CHRISTIAN T ROYER MD
Individual
Orthopaedic Surgery3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(214) 823-7090
1790776821 JAMES M LANCASTER MD
Individual
Orthopaedic Surgery3900 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
1407075617DR. MATTHEW NEVITT
Individual
Orthopaedic Surgery (Hand Surgery)3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(214) 823-7090
1891036588BAYLOR UNIVERSITY MEDICAL CENTER
Organization
Clinic/Center (Radiology)3900 JUNIUS ST SUITE 100
DALLAS, TX 75246
(214) 820-6900
1871580621 DEVESH RAMNATH MD
Individual
Orthopaedic Surgery3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(469) 800-7200
1437470077DR. CAITRIONA RYAN MB BCH BAO
Individual
Dermatology3900 JUNIUS ST SUITE 145
DALLAS, TX 75246
(469) 321-6764
1689931677MS. ASHTON BROOKE WANT P.A.-C
Individual
Physician Assistant (Medical)3900 JUNIUS ST SUITE 500
DALLAS, TX 75246
(469) 800-7200
1538548177NORTH 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 Pathologist3900 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.