Restore Dermatology PLLC
NPI 1831061217ActiveOrganization· Nurse Practitioner, Family· Richardson, TX
Nurse Practitioner, Family in Richardson, Texas, registered in NPPES in September 2025. The authorized official on file is Derrell Hayden, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831061217 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2025 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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