Active NPI
Restore Plastic and Reconstructive Surgery PLLC
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
National Provider Identifier
1295561207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- RESTORE PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
- Practice address
- 909 9TH Ave Ste 204
Fort Worth, TX 76104-3916 - Phone
- (915) 373-4338
- NPI assigned
- Sep 9, 2024
- 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
- Steven Edward Mapula, MD
- Title
- Owner
- Phone
- (915) 373-4338
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 and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
909 9TH Ave Ste 204
Fort Worth, TX 76104-3916
Mailing address
909 9TH Ave Ste 204
Fort Worth, TX 76104-3916
Phone (915) 373-4338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
909 9th Ave
Ste 204
Fort Worth, TX 76104
Phone (682) 285-4575
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1861623704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1295561207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 9TH AVE STE 204",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043916",
"telephone_number": "915-373-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 9TH AVE STE 204",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043916",
"telephone_number": "915-373-4338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE PLASTIC AND RECONSTRUCTIVE SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "MAPULA",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-373-4338",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.