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ARTISTIC PLASTIC SURGERY CENTER
NPI 1457412017
Plastic Surgery in Tacoma, WA

Active since December 13, 2006
3515 S 15TH ST, SUITE 101, TACOMA, WA 98405(253) 756-0933(253) 759-6553 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Artistic Plastic Surgery Center NPPES

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

ARTISTIC PLASTIC SURGERY CENTER (NPI 1457412017) is a healthcare organization registered as a plastic surgery in Tacoma, Washington and active in the NPI registry since December 2006. The organization lists Kelly Lane, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457412017
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameARTISTIC PLASTIC SURGERY CENTER PLLC
Location Address3515 S 15TH ST, SUITE 101Tacoma, WA 98405-1952
Mailing Address3515 S 15th St, Suite 101Tacoma, WA 98405-1952 · (253) 756-0933 · Fax (253) 759-6553
Phone(253) 756-0933
Fax(253) 759-6553
Organization SubpartYesParent: Northstar Surgical Services, Pllc
Authorized OfficialKelly LaneAdministrator · (253) 756-0933
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1457412017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WA · 602804600
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.
3515 S 15TH ST, Tacoma, WA 98405
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Other Names 1

Doing Business AsArtistic Plastic Surgery Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Artistic Plastic Surgery Center 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 Artistic Plastic Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khashayar Dehghan, M.D., PHD
Plastic and Reconstructive Surgery
NPI 1801801659
3515 S 15TH ST SUITE 101
Tacoma, WA 98405
(253) 756-0933
✔ 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 Artistic Plastic Surgery Center PLLC's NPI number?

The NPI number for Artistic Plastic Surgery Center PLLC is 1457412017. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Artistic Plastic Surgery Center.

Where is Artistic Plastic Surgery Center PLLC located?

Artistic Plastic Surgery Center PLLC is located at 3515 S 15th St Suite 101, Tacoma, WA 98405. The listed phone number is (253) 756-0933.

What is Artistic Plastic Surgery Center PLLC's specialty?

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

Is Artistic Plastic Surgery Center PLLC enrolled in Medicare?

Yes. Artistic Plastic Surgery Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Artistic Plastic Surgery Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Artistic Plastic Surgery Center 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.

What insurance does Artistic Plastic Surgery Center PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Artistic Plastic Surgery Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Artistic Plastic Surgery Center PLLC was last updated on January 30, 2020. 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.