KIRBY PLASTIC SURGERY, PLLC
NPI 1386937076
Plastic Surgery in Fort Worth, TX

Active since May 27, 2011CLIA 45D2237486 · Waiver
5075 EDWARDS RANCH RD, FORT WORTH, TX 76109(817) 292-4200(817) 292-4205 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kirby Plastic Surgery, Pllc NPPES

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

KIRBY PLASTIC SURGERY, PLLC (NPI 1386937076) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Emily J Kirby, Member, Kirby Plastic Surgery, Pllc, as its authorized official.

NPPES Registry Identity

NPI1386937076
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameKIRBY PLASTIC SURGERY, PLLC
Location Address5075 EDWARDS RANCH RDFort Worth, TX 76109-4133
Mailing Address5075 Edwards Ranch RdFort Worth, TX 76109-4133 · (817) 292-4200 · Fax (817) 292-4205
Fax(817) 292-4205
Organization SubpartNo
Authorized OfficialEmily J KirbyMember, Kirby Plastic Surgery, Pllc · (817) 292-4200
Enumeration DateMay 27, 2011
Last NPPES UpdateOctober 31, 2019
NPI 1386937076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in TX · N7124
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5075 EDWARDS RANCH RD, Fort Worth, TX 76109

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2237486

Kirby Plastic Surgery, PLLC · Fort Worth, TX
Active · expires Sep 23, 2027
CLIA Number45D2237486
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorEmily J. Kirby
Laboratory Phone(817) 292-4200
Laboratory LocationKirby Plastic Surgery, PLLC5075 Edwards Ranch Rd, Fort Worth, TX 76109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5075 EDWARDS RANCH RD
FORT WORTH, TX 76109
Clinic/Center (Ambulatory Surgical)
5075 EDWARDS RANCH RD
FORT WORTH, TX 76109
Plastic Surgery
5075 EDWARDS RANCH RD
FORT WORTH, TX 76109

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 Kirby Plastic Surgery, PLLC's NPI number?

The NPI number for Kirby Plastic Surgery, PLLC is 1386937076. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is Kirby Plastic Surgery, PLLC located?

Kirby Plastic Surgery, PLLC is located at 5075 Edwards Ranch Rd, Fort Worth, TX 76109. The listed phone number is (817) 292-4200.

What is Kirby Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Kirby Plastic Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2237486) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kirby Plastic Surgery, PLLC was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.