Active NPI
Fadi C Constantine, M.D. P.a
- Plastic Surgery Physician
- Dallas, TX
National Provider Identifier
1023435575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- P7091
- Legal business name
- FADI C CONSTANTINE, M.D. P.A
- Practice address
- 8220 Walnut Hill LN
Suite 206
Dallas, TX 75231-4427 - Phone
- (214) 739-5760
- NPI assigned
- Mar 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fadi Christopher Constantine, M.D.
- Title
- President
- Phone
- (214) 500-8685
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | P7091 | TX | Primary |
Addresses
Primary practice location
8220 Walnut Hill LN
Suite 206
Dallas, TX 75231-4427
Mailing address
8220 Walnut Hill LN
Suite 206
Dallas, TX 75231-4427
Phone (214) 739-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Dallas, TX
- NPI 1871752774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395446400000",
"number": "1023435575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "SUITE 206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-739-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "SUITE 206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-739-5760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FADI C CONSTANTINE, M.D. P.A",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-22",
"last_updated": "2014-03-22",
"status": "A",
"authorized_official_last_name": "CONSTANTINE",
"authorized_official_first_name": "FADI",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-500-8685",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "P7091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.