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JOEL MICAH SUPPLE CSFA, CST
NPI 1891363321
Specialist/Technologist, Other - Surgical Assistant in Southlake, TX

Active since June 11, 2021
809 SILVERTON ST, SOUTHLAKE, TX 76092(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2025, Jul 21, 2021, Jun 11, 2021 (3 updates tracked since 2021).

About Joel Micah Supple Csfa, Cst NPPES

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

JOEL MICAH SUPPLE CSFA, CST (NPI 1891363321) is an individual surgical assistant in Southlake, Texas, licensed in Texas (202123) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1891363321
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameJOEL MICAH SUPPLECredential: CSFA, CST
Location Address809 SILVERTON STSouthlake, TX 76092-3854
Mailing AddressPo Box 938Rowlett, TX 75030-0938 · (214) 227-2457 · Fax (214) 764-0880
Phone(214) 227-2457
Fax(214) 764-0880
Sole ProprietorYes
Enumeration DateJune 11, 2021
Last NPPES UpdateDecember 20, 20253 updates tracked since enumeration
NPPES CertifiedDecember 20, 2025
✔ NPI 1891363321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · 202123
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
809 SILVERTON ST, Southlake, TX 76092
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Other Providers at the Same Location NPPES

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

THE SUPPLE TOUCH SURGICAL, LLC
Surgery
809 SILVERTON ST
SOUTHLAKE, TX 76092
Tarrant County (817) 454-0944

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 Joel Supple's NPI number?

The NPI number for Joel Supple is 1891363321. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Joel Supple located?

Joel Supple practices at 809 Silverton St, Southlake, TX 76092. The listed phone number is (214) 227-2457.

What is Joel Supple's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Joel Supple was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.