Dermatology and Plastic Surgery Specialists PLLC
NPI 1043096365ActiveOrganization· Plastic Surgery· Southlake, TX
Plastic Surgery in Southlake, Texas, registered in NPPES in September 2023, part of Dermatology and Plastic Surgery Specialists PLLC. The authorized official on file is Jason Kyle Potter, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043096365 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dermatology and Plastic Surgery Specialists PLLC |
| NPI issued | Sep 1, 2023 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Plastic Surgery providers in Southlake
- 1013840008
- 1134463474
- 1831335702
- 1053506923
- 1548199730
- 1255519344
- 1881629103
- 1912520669
- 1952498826
- 1013993203
- 1851735922
- 1528418134