Facial and Cosmetic Surgery of Fort Worth
NPI 1720690100ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fort Worth, TX
Dentist, Oral and Maxillofacial Surgery in Fort Worth, Texas, registered in NPPES in August 2020. The authorized official on file is Keith Andrew Sonneveld, DDS, Single Member/Owner.
Overview
| NPI | 1720690100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2020 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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