Active NPI
Alfred Antonetti MD and Associates
- Plastic Surgery Physician
- Plano, TX
National Provider Identifier
1750476784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- E1491
- Legal business name
- ALFRED ANTONETTI MD AND ASSOCIATES
- Practice address
- 6020 W. Plano Pkwy
Plano, TX 75093-4640 - Phone
- (469) 429-7558
- Fax
- (972) 543-2499
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alfred R Antonetti, M.D.
- Title
- Founder
- Phone
- (469) 429-7558
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | E1491 | TX | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | M3861 | TX |
Addresses
Primary practice location
6020 W. Plano Pkwy
Plano, TX 75093-4640
Mailing address
6020 W. Plano Pkwy
Plano, TX 75093-4640
Phone (469) 429-7558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7777 Forest Ln
Ste C642
Dallas, TX 75230
Phone (214) 942-0885
221 W Colorado Blvd
Ste 400
Dallas, TX 75208
Phone (214) 942-0861
6020 W Plano Pkwy
Plano, TX 75093
Phone (469) 429-7558
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Plano, TX
- NPI 1023103009
-
- Plastic Surgery Physician
- Plano, TX
- NPI 1639260128
-
- Plastic and Reconstructive Surgery Physician
- Dallas, TX
- NPI 1992916266
-
- Plastic and Reconstructive Surgery Physician
- Dallas, TX
- NPI 1841378536
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484006400000",
"number": "1750476784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 W. PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934640",
"telephone_number": "469-429-7558",
"fax_number": "972-543-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W. PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934640",
"telephone_number": "469-429-7558",
"fax_number": "972-543-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFRED ANTONETTI MD AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2017-01-10",
"status": "A",
"authorized_official_last_name": "ANTONETTI",
"authorized_official_first_name": "ALFRED",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "469-429-7558",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "E1491",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": "TX",
"license": "M3861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 10, 2017; 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.