DR. JOHN WILLIAM ANTONETTI M.D.
NPI 1992916266
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Q: What is John Antonetti's NPI number?

The NPI number for John Antonetti is 1992916266. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is John Antonetti's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Antonetti was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 25, 2007PECOS Enrolled

7777 FOREST LN STE C212, DALLAS, TX 75230(214) 708-6961(855) 592-2934 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John William Antonetti M.d. NPPES

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

DR. JOHN WILLIAM ANTONETTI M.D. (NPI 1992916266) is an individual plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (M6020) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2007).

NPPES Registry Identity

NPI1992916266

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JOHN WILLIAM ANTONETTICredential: M.D.

Location Address7777 FOREST LN STE C212Dallas, TX 75230-6836

Mailing Address7777 Forest Ln Bldg CDallas, TX 75230-2571 · (972) 566-2010 · Fax (855) 592-2934

Phone(214) 708-6961

Fax(855) 592-2934

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2007

Enumeration DateMay 25, 2007

Last NPPES UpdateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1992916266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TX · M6020

Definition

A surgeon who specializes in plastic and reconstructive surgery.

7777 FOREST LN STE C212, Dallas, TX 75230

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John William Antonetti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547352882

PECOS Enrollment IDI20070816000560

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

CLINIQUE DALLAS PLASTIC SURGERY PLLC

Surgery (Plastic and Reconstructive Surgery)

7777 FOREST LN STE C212
DALLAS, TX 75230

Dallas County (972) 566-2010

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 John Antonetti's NPI number?

The NPI number for John Antonetti is 1992916266. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is John Antonetti located?

John Antonetti practices at 7777 Forest Ln Ste C212, Dallas, TX 75230. The listed phone number is (214) 708-6961.

What is John Antonetti's specialty?

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

Is John Antonetti enrolled in Medicare?

Yes. John Antonetti is registered in the Medicare PECOS enrollment system.

What insurance does John Antonetti 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 and 1 other insurer list John Antonetti 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 John Antonetti was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.