Organization Active NPI

Dauwe Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1467989822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
Q4744 Issued in TX
Legal business name
DAUWE PLASTIC SURGERY, PLLC
Practice address
2801 Lemmon Ave Ste 310
Dallas, TX 75204-0355
Phone
(214) 821-6580
Fax
(214) 821-6584
NPI assigned
May 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Phillip Blake Dauwe, MD
Title
President
Phone
(214) 821-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Q4744 TX Primary

Addresses

Primary practice location

2801 Lemmon Ave Ste 310
Dallas, TX 75204-0355

Mailing address

2801 Lemmon Ave Ste 310
Dallas, TX 75204-0355
Phone (214) 821-6580

National Provider Directory

National Provider Directory

Locations

10707 Preston Rd
Dallas, TX 75230

2801 Lemmon Ave
Ste 310
Dallas, TX 75204
Phone (214) 522-2661

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467989822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040355",
            "telephone_number": "214-821-6580",
            "fax_number": "214-821-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040355",
            "telephone_number": "214-821-6580",
            "fax_number": "214-821-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUWE PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAUWE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-821-6580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.