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PEDIATRIC PLASTIC SURGERY, PLLC
NPI 1558419358
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active since January 08, 2007
7777 FOREST LN STE C528, DALLAS, TX 75230(972) 331-7711(972) 331-1911 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2021, Jan 25, 2016 (2 updates tracked since 2016).

About Pediatric Plastic Surgery, Pllc NPPES

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

PEDIATRIC PLASTIC SURGERY, PLLC (NPI 1558419358) is a healthcare organization registered as a plastic and reconstructive surgery in Dallas, Texas and active in the NPI registry since January 2007. The organization lists Juli A Smiddy, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1558419358
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePEDIATRIC PLASTIC SURGERY, PLLC
Location Address7777 FOREST LN STE C528Dallas, TX 75230-6848
Mailing Address7777 Forest Ln Ste C528Dallas, TX 75230-6848 · (972) 331-7711 · Fax (972) 331-1911
Phone(972) 331-7711
Fax(972) 331-1911
Organization SubpartNo
Authorized OfficialJuli A SmiddyPractice Administrator · (972) 331-7711
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1558419358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
7777 FOREST LN STE C528, Dallas, TX 75230
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

GENECOV PLASTIC SURGERY GROUP, PA
Plastic Surgery (Plastic Surgery Within the Head and Neck)
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 331-1900
DR. HUAY-ZONG LAW M.D.
Surgery (Plastic and Reconstructive Surgery)
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 331-1900
GREEN OAKS HOSPITAL SUBSIDIARY LP
Clinic/Center
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 991-9504
SAGE PLASTIC SURGERY, PLLC
Surgery (Plastic and Reconstructive Surgery)
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 331-1900
DR. CARLOS RAUL BARCELO M.D.
Surgery (Plastic and Reconstructive Surgery)
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 331-1900
SHELBY STEWART PA-C
Physician Assistant
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 331-1900
CHARLES MICHAEL FISHER LMSW
Social Worker
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 770-1032
PEGGY HOLT MS, LPC
Counselor (Professional)
7777 FOREST LN STE C528
DALLAS, TX 75230
Dallas County (972) 770-1032

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 Pediatric Plastic Surgery, PLLC's NPI number?

The NPI number for Pediatric Plastic Surgery, PLLC is 1558419358. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Pediatric Plastic Surgery, PLLC located?

Pediatric Plastic Surgery, PLLC is located at 7777 Forest Ln Ste C528, Dallas, TX 75230. The listed phone number is (972) 331-7711.

What is Pediatric Plastic Surgery, PLLC's specialty?

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

What insurance does Pediatric Plastic Surgery, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Pediatric Plastic Surgery, 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 Pediatric Plastic Surgery, PLLC was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.