OrganizationActive
Ladera Park Dermatology, P.A.
NPI 1417010935 · Dermatology Physician · Austin, TX
Ladera Park Dermatology, P.A. is a Dermatology Physician organization in Austin, TX (NPI 1417010935).
Provider details
- NPI number
- 1417010935
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Dubois, President(512) 345-3599
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11671 Jollyville Rd Ste 104
Austin, TX 78759-4141
Phone: (512) 345-3599
Fax: (512) 345-3928
Street-level locationGet directions
Mailing address
11671 Jollyville Rd Ste 104
Austin, TX 78759-4141
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2013-02-27
Frequently asked questions
- What is Ladera Park Dermatology, P.A.'s NPI number?
- Ladera Park Dermatology, P.A.'s National Provider Identifier (NPI) is 1417010935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ladera Park Dermatology, P.A.?
- Ladera Park Dermatology, P.A. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ladera Park Dermatology, P.A. located?
- Ladera Park Dermatology, P.A.'s practice location on file with NPPES is 11671 Jollyville Rd Ste 104, Austin, TX 78759-4141.
- What is Ladera Park Dermatology, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Ladera Park Dermatology, P.A. is (512) 345-3599.
- Who is the authorized official for Ladera Park Dermatology, P.A.?
- The authorized official listed on Ladera Park Dermatology, P.A.'s NPPES record is Janet Dubois, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ladera Park Dermatology, P.A.'s NPI active?
- Yes — Ladera Park Dermatology, P.A.'s NPI (1417010935) is active in the NPPES registry as of the last update on 2013-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.