Organization Active NPI

Steven Clark MD PLLC

Doing business as Clark Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1174902621
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
N3567 Issued in TX
Legal business name
STEVEN CLARK MD PLLC
Doing business as
Clark Plastic Surgery
Clark Plastic and Hand Surgery
Practice address
18170 Dallas Pkwy Ste 202
Dallas, TX 75287-7149
Phone
(469) 675-3659
Fax
(469) 675-3181
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Dr. Steven A Clark, M.D.NPI 1821292517
Title
Authorized Official/Owner
Phone
(469) 675-3659

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X N3567 TX
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0105X N3567 TX
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0105X N3567 TX
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X N3567 TX Primary

Addresses

Primary practice location

18170 Dallas Pkwy Ste 202
Dallas, TX 75287-7149

Mailing address

4510 Medical Center Drive
Suite 305
McKinney, TX 75069-1604
Phone (469) 675-3659

Other identifiers 1

IdentifierTypeStateIssuer
3560955MedicaidTX

Other names 2

  • Clark Plastic Surgery Doing business as
  • Clark Plastic and Hand Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112000297 TX Part B Supplier - Clinic/Group Practice 9436469954 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste C230
Dallas, TX 75230
Phone (469) 675-3659

18170 Dallas Pkwy
Ste 202
Dallas, TX 75287
Phone (469) 675-3659

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": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1174902621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 305",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691604",
            "telephone_number": "469-675-3659",
            "fax_number": "469-675-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18170 DALLAS PKWY STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877149",
            "telephone_number": "469-675-3659",
            "fax_number": "469-675-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN CLARK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "469-675-3659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N3567",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N3567",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N3567",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N3567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3560955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark Plastic and Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2025; 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.

Verify at the official NPI Registry.