Jeffrey a Fearon MD P a

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

H8638 Issued in TX

Legal business name

JEFFREY A FEARON MD P A

Doing business as

The Craniofacial Center

Practice address

7777 Forest LN Ste C700
Dallas, TX 75230-2518

Phone

(972) 566-6464

Fax

(972) 566-6279

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Charlotte Rachel Kelton

Title

Office Manager

Phone

(972) 566-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Craniofacial Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Jeffrey A Fearon, M.D.,F.A.C.S.

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1538113592
  Medicare reassignment NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1851439780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302518",
            "telephone_number": "972-566-6464",
            "fax_number": "972-566-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302518",
            "telephone_number": "972-566-6464",
            "fax_number": "972-566-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A FEARON MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KELTON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-566-6464"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H8638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093725201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Craniofacial Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susanne Jefferson, RNFA
• Jeffery Fritz MD PA
• Jeffery Keith Krueger M D P a
• Bradley Dean Jeffery, MS CCC SLP
• Hailey Jeffery, RN
• Jeffrey a Stone DO PA
• Jeffrey a. Henry Estate
• Jeffrey D Hopkins DDS MD PA
• Jeffrey D. Cone, Jr., M.D., P.a.
• Jeffrey L. Horswell, MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.