DERMATOLOGY SPECIALISTS, PA
NPI 1992813570
Dermatology in Richardson, TX

NPI Status: Active since August 25, 2006

Contact Information

3005 E. RENNER ROAD
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (792) 699-0000
Fax: (972) 699-0004

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  • Organization
  • Dermatology
  • CLIA Number: 45D1037157
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-23-2026

About DERMATOLOGY SPECIALISTS, PA

This page provides the complete NPI Profile along with additional information for Dermatology Specialists, Pa, a provider established in Richardson, Texas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1992813570 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Dermatology Specialists, 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 Sandalee S Krueger (Office Mgr)

NPI
1992813570
Provider Name
DERMATOLOGY SPECIALISTS, PA
Entity Type
Organization
Location Address
3005 E. RENNER ROAD SUITE 100 RICHARDSON, TX 75082
Location Phone
(792) 699-0000
Location Fax
(972) 699-0004
Mailing Address
3005 E RENNER RD SUITE 100 RICHARDSON, TX 75082
Mailing Phone
(972) 699-0000
Mailing Fax
(972) 699-0004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2006
Last Update Date
12-23-2009
Code Navigator

A dermatologist like Dermatology Specialists, 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)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

L0877 (TX)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SANDALEE S KRUEGER

Authorized Official Title
OFFICE MGR
Authorized Official Phone
(972) 699-0000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00362YMEDICARE ID-TYPE UNSPECIFIED (04)TXGROUP MEDICARE NUMBER

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
45D1037157
Facility Type
Physician Office
Certificate Effective Date
April 24, 2024
Certificate Expiration Date
April 23, 2026
Laboratory Director
DIANA K. NGUYEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dermatology Specialists, Pa 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.
1992813570
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821616514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 1 + 6 + 5 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1992813570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053374033 CAROLE C APONTE MD
Individual
Dermatology3005 E. RENNER ROAD SUITE 100
RICHARDSON, TX 75082
(972) 699-0000
1104020767DR. CAMERON L COURY MD
Individual
Dermatology3005 E. RENNER ROAD STE 100
RICHARDSON, TX 75082
(972) 699-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992813570, enumerated in the NPI registry as an "organization" on August 25, 2006

The provider is located at 3005 E. Renner Road Suite 100 Richardson, Tx 75082 and the phone number is (792) 699-0000

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D1037157 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 August 25, 2006. 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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