CLINIQUE DALLAS PLASTIC SURGERY PLLC
NPI 1689808941
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Q: What is Clinique Dallas Plastic Surgery PLLC's NPI number?

The NPI number for Clinique Dallas Plastic Surgery PLLC is 1689808941. It was assigned to this organization in the NPPES registry on May 14, 2009.

Q: What is Clinique Dallas Plastic Surgery PLLC's specialty?

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

Active since May 14, 2009

7777 FOREST LN STE C212, DALLAS, TX 75230(972) 566-2010(855) 592-2934 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clinique Dallas Plastic Surgery Pllc NPPES

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

CLINIQUE DALLAS PLASTIC SURGERY PLLC (NPI 1689808941) is a healthcare organization registered as a plastic and reconstructive surgery in Dallas, Texas and active in the NPI registry since May 2009. The organization lists John William Antonetti, Ceo/surgeon, as its authorized official.

NPPES Registry Identity

NPI1689808941

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameCLINIQUE DALLAS PLASTIC SURGERY PLLC

Location Address7777 FOREST LN STE C212Dallas, TX 75230-6836

Mailing Address7777 Forest Ln Ste C212Dallas, TX 75230-6836 · (972) 566-2010 · Fax (855) 592-2934

Phone(972) 566-2010

Fax(855) 592-2934

Organization SubpartNo

Authorized OfficialJohn William AntonettiCeo/surgeon · (972) 566-2010

Enumeration DateMay 14, 2009

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1689808941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X

7777 FOREST LN STE C212, Dallas, TX 75230

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Other Identifiers 1

Medicaid2931776-01TX

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

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

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

DR. JOHN WILLIAM ANTONETTI M.D.

Surgery (Plastic and Reconstructive Surgery)

7777 FOREST LN STE C212
DALLAS, TX 75230

Dallas County (214) 708-6961

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 Clinique Dallas Plastic Surgery PLLC's NPI number?

The NPI number for Clinique Dallas Plastic Surgery PLLC is 1689808941. It was assigned to this organization in the NPPES registry on May 14, 2009.

Where is Clinique Dallas Plastic Surgery PLLC located?

Clinique Dallas Plastic Surgery PLLC is located at 7777 Forest Ln Ste C212, Dallas, TX 75230. The listed phone number is (972) 566-2010.

What is Clinique Dallas 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 Clinique Dallas Plastic Surgery PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Clinique Dallas 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 Clinique Dallas Plastic Surgery PLLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.