Organization Active NPI

Premier Aesthetic Surgicenter LLC

  • Facial Plastic Surgery Physician
  • Coppell, TX
National Provider Identifier
1154200624
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
PREMIER AESTHETIC SURGICENTER LLC
Practice address
670 N Macarthur Blvd Ste 120
Coppell, TX 75019-2732
Phone
(650) 274-7434
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Newman, MDNPI 1619012762
Title
Manager
Phone
(650) 274-7434

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)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

670 N Macarthur Blvd Ste 120
Coppell, TX 75019-2732

Mailing address

670 N Macarthur Blvd Ste 120
Coppell, TX 75019-2732
Phone (650) 274-7434

Other names 1

  • Premier Aesthetic Surgicenter Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1154200624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N MACARTHUR BLVD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192732",
            "telephone_number": "650-274-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N MACARTHUR BLVD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192732",
            "telephone_number": "650-274-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER AESTHETIC SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-274-7434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Aesthetic Surgicenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.