Active NPI
Kirby Plastic Surgery, PLLC
- Plastic Surgery Physician
- Fort Worth, TX
National Provider Identifier
1386937076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- N7124
- Legal business name
- KIRBY PLASTIC SURGERY, PLLC
- Practice address
- 5075 Edwards Ranch Rd
Fort Worth, TX 76109-4133 - Phone
- (817) 292-4200
- Fax
- (817) 292-4205
- NPI assigned
- May 27, 2011
- 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
- Dr. Emily J Kirby, MD
- Title
- Member, Kirby Plastic Surgery, PLLC
- Phone
- (817) 292-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | N7124 | TX | Primary |
Addresses
Primary practice location
5075 Edwards Ranch Rd
Fort Worth, TX 76109-4133
Mailing address
5075 Edwards Ranch Rd
Fort Worth, TX 76109-4133
Phone (817) 292-4200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2237486 | Kirby Plastic Surgery, PLLC | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
7250 Hawkins View Dr
Ste 412
Ft Worth, TX 76132
Phone (817) 292-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1740025857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572480000000",
"number": "1386937076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 EDWARDS RANCH RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094133",
"telephone_number": "817-292-4200",
"fax_number": "817-292-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 EDWARDS RANCH RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094133",
"telephone_number": "817-292-4200",
"fax_number": "817-292-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRBY PLASTIC SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-27",
"last_updated": "2019-10-31",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEMBER, KIRBY PLASTIC SURGERY, PLLC",
"authorized_official_telephone_number": "817-292-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "N7124",
"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 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.