Dallas Plastic and Reconstructive Surgery Associates, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

P2995 Issued in TX

Legal business name

DALLAS PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, PLLC

Practice address

7777 Forest LN
Suite B116
Dallas, TX 75230-2571

Phone

(972) 566-3001

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evan Beale, MDNPI 1568666493

Title

Director

Phone

(972) 566-3001

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan W. Beale, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Dallas, TX
  • NPI 1568666493
  Authorized official Same address or phone

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1659720746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-566-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "08618",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P2995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Physical Performance Center
• Dallas Physical Therapy Center
• Dallas Physician Medical Services for Children Inc (Children's Health Medical Group)
• Dallas Physician Medical Services for Children Inc (Children's Health Urgent Care)
• Dallas Physician Medical Services for Children Inc (Children's Health Medical Group)
• Dallas Plastic Surgery Institute Management, PA
• Dallas Podiatry Works PA
• Dallas Premier Plastic Surgery, P.L.L.C.
• Dallas Psychiatry & TMS Center
• Dallas Psychiatry Group, PLLC (Dallas Psychiatry Group)

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.