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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COSMETIC SURGERY OF DFW, PLLC
NPI 1497337471
Plastic Surgery in Fort Worth, TX

Active since April 28, 2021
5825 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109(817) 529-4314(817) 546-8240 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Apr 28, 2021 (2 updates tracked since 2021).

About Cosmetic Surgery Of Dfw, Pllc NPPES

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

COSMETIC SURGERY OF DFW, PLLC (NPI 1497337471) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since April 2021. The organization lists Dustin Derrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1497337471
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCOSMETIC SURGERY OF DFW, PLLC
Location Address5825 EDWARDS RANCH RD STE 200Fort Worth, TX 76109-4142
Mailing Address5825 Edwards Ranch Rd Ste 200Fort Worth, TX 76109-4142 · (817) 529-4314 · Fax (844) 546-8240
Phone(817) 529-4314
Fax(817) 546-8240
Organization SubpartNo
Authorized OfficialDustin DerrickOwner · (817) 529-4314
Enumeration DateApril 28, 2021
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1497337471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
5825 EDWARDS RANCH RD STE 200, Fort Worth, TX 76109
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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

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.

DR. DUSTIN CLIFTON DERRICK M.D.
Plastic Surgery
5825 EDWARDS RANCH RD STE 200
FORT WORTH, TX 76109
Tarrant County (817) 529-4314
DR. KEITH SONNEVELD DDS
Dentist (Oral and Maxillofacial Surgery)
5825 EDWARDS RANCH RD STE 200
FORT WORTH, TX 76109
Tarrant County (817) 927-1818
FACIAL AND COSMETIC SURGERY OF FORT WORTH
Dentist (Oral and Maxillofacial Surgery)
5825 EDWARDS RANCH RD STE 200
FORT WORTH, TX 76109
Tarrant County (817) 927-1818

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 Cosmetic Surgery Of Dfw, PLLC's NPI number?

The NPI number for Cosmetic Surgery Of Dfw, PLLC is 1497337471. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Cosmetic Surgery Of Dfw, PLLC located?

Cosmetic Surgery Of Dfw, PLLC is located at 5825 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109. The listed phone number is (817) 529-4314.

What is Cosmetic Surgery Of Dfw, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cosmetic Surgery Of Dfw, PLLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.