Advanced Reconstructive Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ADVANCED RECONSTRUCTIVE PLASTIC SURGERY PLLC

Practice address

1900 E State Highway 114 Ste 140
Southlake, TX 76092-6510

Phone

(469) 293-2533

NPI assigned

Jun 8, 2026

Organization subpart

No

Name

Ali Reza Abtahi, DO

Title

Managing Member

Phone

(469) 293-2533

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2026.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1013840008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E STATE HIGHWAY 114 STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E STATE HIGHWAY 114 STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926510",
            "telephone_number": "469-293-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECONSTRUCTIVE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ABTAHI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-293-2533",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Adeniran, LPC
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• Aziza Adriano
• Advanced Medical Enterprises LP
• Advanced Psychiatry PLLC
• Advanced Southlake Endodontics, PLLC
• Advanced Spine Solutions PA
• Advancelife Care Solutions, LLC
• Advanta Labs, LLC
• Aeg Texas Professional PLLC

• All providers in Southlake, TX
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.