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STEVEN CLARK MD PLLC
NPI 1174902621
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active since May 29, 2015
18170 DALLAS PKWY STE 202, DALLAS, TX 75287(469) 675-3659(469) 675-3181 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Steven Clark Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN CLARK MD PLLC (NPI 1174902621), doing business as Clark Plastic Surgery, is a healthcare organization registered as a plastic and reconstructive surgery in Dallas, Texas and active in the NPI registry since May 2015. The organization lists Steven A Clark, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1174902621
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSTEVEN CLARK MD PLLC
Location Address18170 DALLAS PKWY STE 202Dallas, TX 75287-7149
Mailing Address4510 Medical Center Drive, Suite 305Mckinney, TX 75069-1604 · (469) 675-3659 · Fax (469) 675-3181
Phone(469) 675-3659
Fax(469) 675-3181
Organization SubpartNo
Authorized OfficialSteven A ClarkAuthorized Official/owner · (469) 675-3659
Enumeration DateMay 29, 2015
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1174902621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · N3567
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License N3567 (TX)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License N3567 (TX)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License N3567 (TX)
18170 DALLAS PKWY STE 202, Dallas, TX 75287
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Other Names 2

Doing Business AsClark Plastic Surgery
Doing Business AsClark Plastic And Hand Surgery

Other Identifiers 1

Medicaid3560955TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Clark Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Steven Clark MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Steven Clark, MD
Plastic and Reconstructive Surgery
NPI 1821292517
18170 DALLAS PKWY STE 202
Dallas, TX 75287
(469) 675-3659
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Clark MD PLLC's NPI number?

The NPI number for Steven Clark MD PLLC is 1174902621. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as Clark Plastic Surgery and Clark Plastic and Hand Surgery.

Where is Steven Clark MD PLLC located?

Steven Clark MD PLLC is located at 18170 Dallas Pkwy Ste 202, Dallas, TX 75287. The listed phone number is (469) 675-3659.

What is Steven Clark MD PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Steven Clark MD PLLC enrolled in Medicare?

Yes. Steven Clark MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Steven Clark MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Steven Clark MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Steven Clark MD PLLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.