Valley Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

VALLEY PLASTIC SURGERY PLLC

Practice address

1121 S Gilbert Rd Ste 102
Mesa, AZ 85204-5235

Phone

(602) 786-1144

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kyle J Sanniec, MDNPI 1912340043

Title

Sole Member

Phone

(602) 376-8638

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Kyle Sanniec, MD

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1912340043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1851093652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94765",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850704765",
            "telephone_number": "602-376-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "602-786-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "SANNIEC",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-376-8638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Ophthalmic Facial Plastic Surgery PC
• Valley Outpatient Surgical Center Inc
• Valley Oximetry Incorporated
• Valley Pediatric ABA
• Valley Pediatric Dentists P.C.
• Valley Sleep Physicians, Inc
• Valley Sleep Therapy Inc
• Valley Therapy
• Valley Wide Home Health Care, PLLC
• Valleywide Comprehensive Internal Medicine Specialists PLLC

• Plastic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.