Individual provider Active NPI

Benjamin A Bassichis, MD

  • Facial Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1417918947
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
K2643 Issued in TX
Practice address
14755 Preston Rd
Suite 110
Dallas, TX 75254-6815
Phone
(972) 774-1777
NPI assigned
Apr 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X K2643 TX Primary

Addresses

Primary practice location

14755 Preston Rd
Suite 110
Dallas, TX 75254-6815

Mailing address

14755 Preston Rd
Suite 110
Dallas, TX 75254-6815
Phone (972) 774-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000296 TX Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7517870454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14755 Preston Rd
Suite 110
Dallas, TX 75254-9189
Phone (972) 774-1777

Merit-based Incentive Payment System (MIPS)

Final score
67.85 of 100Reported as individual
Quality
35.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision390
Removal of skin lesions439
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2643TXMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Surgery Center LLC CurrentSince Nov 28, 2020 Accepting new patients
Advanced Facial Plastic Surgery Center CurrentSince Aug 26, 2003 Accepting new patients
Advanced Foot Specialists, PLLC PastSince May 8, 2014 Accepting new patients

Locations

14755 Preston Rd
Ste 110
Dallas, TX 75254
Phone (972) 774-1777

6957 W Plano Pkwy
Ste 1000
Plano, TX 75093
Phone (469) 986-3700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417918947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14755 PRESTON RD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546815",
            "telephone_number": "972-774-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14755 PRESTON RD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546815",
            "telephone_number": "972-774-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSICHIS",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "K2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.