Organization Active NPI

Quintessence Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1891205290
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
QUINTESSENCE PLASTIC SURGERY PLLC
Practice address
6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone
(512) 777-2969
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Aisah White, MD
Title
President
Phone
(512) 777-2969

Specialties & licenses 1

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

Addresses

Primary practice location

6611 River Place Blvd Ste 201
Austin, TX 78730-1167

Mailing address

6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone (512) 777-2969

National Provider Directory

National Provider Directory

Locations

6611 River Place Blvd
#20
Austin, TX 78730
Phone (512) 777-2969

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1891205290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301167",
            "telephone_number": "512-777-2969",
            "fax_number": "512-777-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301167",
            "telephone_number": "512-777-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENCE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AISAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-777-2969",
        "authorized_official_credential": "MD"
    },
    "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": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.