Organization Active NPI

Chase Derrick MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Plano, TX
National Provider Identifier
1598526451
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CHASE DERRICK MD PLLC
Practice address
3060 Communications Pkwy Ste 201
Plano, TX 75093-8492
Phone
(972) 424-1300
Fax
(214) 387-1212
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Chase D DerrickNPI 1407141526
Title
President
Phone
(972) 424-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

3060 Communications Pkwy Ste 201
Plano, TX 75093-8492

Mailing address

3060 Communications Pkwy Ste 201
Plano, TX 75093-8492
Phone (972) 424-1300

Other names 1

  • Derrick Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312002281 TX Part B Supplier - Clinic/Group Practice 3173969292 Receives reassigned benefits from 1 practitioner
Practice locations: Anna, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

3308 Preston Rd
Ste 350176
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1598526451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938492",
            "telephone_number": "972-424-1300",
            "fax_number": "214-387-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938492",
            "telephone_number": "972-424-1300",
            "fax_number": "214-387-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE DERRICK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-424-1300"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derrick Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.