Vista Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

VISTA PLASTIC SURGERY

Practice address

4701 Bee Cave Rd
Ste 202
Austin, TX 78746-5366

Phone

(512) 755-8478

Fax

(512) 572-8484

NPI assigned

Oct 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Justin Henry Booth, MD

Title

Owner

Phone

(512) 755-8478

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1356982870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVE RD",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-755-8478",
            "fax_number": "512-572-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVE RD",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "512-755-8478",
            "fax_number": "512-572-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Beardsley Ln Ste C101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787464949",
            "country_code": "US",
            "telephone_number": "512-755-8478",
            "fax_number": "512-572-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-755-8478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447570916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc.
• Visionworks, Inc.
• Vista Entera Holistic Health PLLC
• Vista Health Plan, Inc.
• Vista Oaks SCC, LLC
• Vista View Dental
• Visual Endeavors PLLC
• Vita Counseling Center, PLLC
• Vita Healthcare PLLC
• Vitacare Health LLC

• Plastic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.