Organization Active NPI

Plastic Surgery Associates of Dallas

  • Plastic Surgery Physician
  • Plano, TX
National Provider Identifier
1194993543
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY ASSOCIATES OF DALLAS
Practice address
6130 W Parker Rd Ste 512
Plano, TX 75093-8031
Phone
(972) 981-7940
Fax
(972) 981-7941
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Landon S Perry, M.D.NPI 1093754665
Title
Owner
Phone
(972) 981-7940

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
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

6130 W Parker Rd Ste 512
Plano, TX 75093-8031

Mailing address

6130 W Parker Rd Ste 512
Plano, TX 75093-8031
Phone (972) 981-7940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001751 TX Part B Supplier - Clinic/Group Practice 7416930391 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

8220 Walnut Hill Ln
Bldg Ii
Dallas, TX 75231
Phone (214) 739-5760

6300 W Parker Rd
Plano, TX 75093
Phone (972) 494-6887

Practitioners & affiliated clinicians

Practitioners 2

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1194993543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 512",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938031",
            "telephone_number": "972-981-7940",
            "fax_number": "972-981-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 512",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938031",
            "telephone_number": "972-981-7940",
            "fax_number": "972-981-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-981-7940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.