DERMATOLOGY SOUTHWEST
NPI 1922143544
Nurse Practitioner - Family in Burleson, TX
NPI Status: Active since February 21, 2007
Contact Information
12001 SOUTH FREEWAY
#205
BURLESON, TX
ZIP 76028
Phone: (817) 568-0500
Fax: (817) 568-0501
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 45D2004258
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-01-2026
About DERMATOLOGY SOUTHWEST
This page provides the complete NPI Profile along with additional information for Dermatology Southwest, a provider established in Burleson, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1922143544 assigned on February 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 641224 (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 provider's is doing business as Dermatology Southwest. The authorized official of this NPI record is Basem Chaker M.d. (President)
- NPI
- 1922143544
- Provider Legal Name
- M. BASEM CHAKER, M.D. P.A.
- Other Organization Name
- DERMATOLOGY SOUTHWEST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12001 SOUTH FREEWAY #205 BURLESON, TX 76028
- Location Phone
- (817) 568-0500
- Location Fax
- (817) 568-0501
- Mailing Address
- 12001 SOUTH FREEWAY #205 BURLESON, TX 76028
- Mailing Phone
- (817) 568-0500
- Mailing Fax
- (817) 568-0501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-21-2007
- Last Update Date
- 08-13-2008
- Code Navigator
A nurse practitioner (NP) like Dermatology Southwest is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 641224
- License State
- TX
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
- 45D2004258
- Facility Type
- Physician Office
- Certificate Effective Date
- March 02, 2024
- Certificate Expiration Date
- March 01, 2026
- Laboratory Director
- BASEM M. CHAKER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dermatology Southwest in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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. | |||||||||
| 1 | 9 | 2 | 2 | 1 | 4 | 3 | 5 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 4 | 6 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 4 + 6 + 5 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1922143544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306802418 | HUGULEY SURGERY CENTER, LLP Organization | Clinic/Center (Ambulatory Surgical) | 12001 SOUTH FREEWAY SUITE 101 BURLESON, TX 76028 (817) 615-4400 |
| 1568560639 | ALLERGY EAR NOSE & THROAT ASSOCIATES OF TEXAS Organization | Allergy & Immunology (Allergy) | 12001 SOUTH FREEWAY SUITE 201 BURLESON, TX 76028 (817) 293-9009 |
| 1841390473 | DR. MICHAEL DEAN COLE DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 12001 SOUTH FREEWAY SUITE 207 BURLESON, TX 76028 (817) 568-6811 |
| 1750992053 | MCKENZIE WELCH MEDICAL GROUP, PLLC Organization | Family Medicine | 12001 SOUTH FREEWAY SUITE 302 BURLESON, TX 76028 (817) 854-2210 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922143544, enumerated in the NPI registry as an "organization" on February 21, 2007
The provider is located at 12001 South Freeway #205 Burleson, Tx 76028 and the phone number is (817) 568-0500
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 45D2004258 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 21, 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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