Las Colinas Dermatology PA
NPI 1407041114 · Dermatology Physician · Irving, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Las Colinas Dermatology PA is a Dermatology Physician organization in Irving, TX (NPI 1407041114).
Provider details
- NPI number
- 1407041114
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alison Black, Owner(972) 432-0300
- License
- J1878 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2010-03-29
Frequently asked questions
- What is Las Colinas Dermatology PA's NPI number?
- Las Colinas Dermatology PA's National Provider Identifier (NPI) is 1407041114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Las Colinas Dermatology PA?
- Las Colinas Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Las Colinas Dermatology PA located?
- Las Colinas Dermatology PA's practice location on file with NPPES is 440 W Ih 635 Fwy, Irving, TX 75063-3768.
- What is Las Colinas Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Las Colinas Dermatology PA is (972) 432-0300.
- Does Las Colinas Dermatology PA accept Medicare?
- Las Colinas Dermatology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Las Colinas Dermatology PA?
- The authorized official listed on Las Colinas Dermatology PA's NPPES record is Alison Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Las Colinas Dermatology PA's NPI active?
- Yes — Las Colinas Dermatology PA's NPI (1407041114) is active in the NPPES registry as of the last update on 2010-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.