OrganizationActive
Modern Dermatology PLLC
NPI 1356891576 · Dermatology Physician · Beaumont, TX
Modern Dermatology PLLC is a Dermatology Physician organization in Beaumont, TX (NPI 1356891576).
Provider details
- NPI number
- 1356891576
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Trina West, Office Manager(409) 835-4790
- License
- J3153 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3485 Fannin St
Beaumont, TX 77701-3807
Phone: (409) 835-4790
Fax: (409) 835-2496
Street-level locationGet directions
Mailing address
3485 Fannin St
Beaumont, TX 77701-3807
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-10-12
Frequently asked questions
- What is Modern Dermatology PLLC's NPI number?
- Modern Dermatology PLLC's National Provider Identifier (NPI) is 1356891576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dermatology PLLC?
- Modern Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Dermatology PLLC located?
- Modern Dermatology PLLC's practice location on file with NPPES is 3485 Fannin St, Beaumont, TX 77701-3807.
- What is Modern Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dermatology PLLC is (409) 835-4790.
- Who is the authorized official for Modern Dermatology PLLC?
- The authorized official listed on Modern Dermatology PLLC's NPPES record is Trina West, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dermatology PLLC's NPI active?
- Yes — Modern Dermatology PLLC's NPI (1356891576) is active in the NPPES registry as of the last update on 2016-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.