Organization Active NPI

Arlington Plastic Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Arlington, TX
National Provider Identifier
1912291147
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ARLINGTON PLASTIC SURGERY, PA
Practice address
400 W Arbrook Blvd
Suite 331
Arlington, TX 76014-3174
Phone
(817) 468-7000
Fax
(817) 468-7003
NPI assigned
Jun 6, 2011
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Son Xuan Nguyen, M.D.NPI 1629273271
Title
Owner/President
Phone
(817) 468-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X TX
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd
Suite 331
Arlington, TX 76014-3174

Mailing address

400 W Arbrook Blvd
Suite 331
Arlington, TX 76014-3174
Phone (817) 468-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000890 TX Part B Supplier - Clinic/Group Practice 1850550708 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

400 W Arbrook Blvd
Ste 331
Arlington, TX 76014
Phone (807) 468-7000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1912291147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD",
            "address_2": "SUITE 331",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-468-7000",
            "fax_number": "817-468-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD",
            "address_2": "SUITE 331",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-468-7000",
            "fax_number": "817-468-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-468-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.