Advanced Facial Plastic Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

K2643 Issued in TX

Legal business name

ADVANCED FACIAL PLASTIC SURGERY CENTER

Practice address

14755 Preston Rd
Suite 110
Dallas, TX 75254-6815

Phone

(972) 774-1777

Fax

(972) 774-0066

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Amos Bassichis, M.D., F.A.C.S.NPI 1417918947

Title

Owner

Phone

(972) 774-1777

Specialties & licenses 1

Addresses

Other names 1

• Advanced Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin A Bassichis, MD

  • Facial Plastic Surgery Physician
  • Dallas, TX
  • NPI 1417918947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1487832010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14755 PRESTON ROAD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "972-774-1777",
            "fax_number": "972-774-0066"
        },
        {
            "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",
            "fax_number": "972-774-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FACIAL PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BASSICHIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-774-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.

Verify at the official NPI Registry.