Frisco Plastic Surgery, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L8195 Issued in TX

Legal business name

FRISCO PLASTIC SURGERY, P.A.

Practice address

4401 Coit Rd
Suite 309
Frisco, TX 75035-0500

Phone

(972) 334-0400

Fax

(972) 334-0510

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Ray Smart Jr., M.D.NPI 1386607398

Title

President

Phone

(972) 334-0400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth Ray Smart Jr., M.D.

  • Plastic Surgery Physician
  • Frisco, TX
  • NPI 1386607398

  Plastic Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962465393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 309",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "972-334-0400",
            "fax_number": "972-334-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 309",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "972-334-0400",
            "fax_number": "972-334-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-334-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L8195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Frisco, TX
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.