Plastic SurgeryIndex

Taylor Chishom, MD, MPH

Plastic surgery clinician in Southlake, TX

Registered providerLicense # listed (CA)

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Public-record details

Address
415 E Southlake Blvd Ste 101, Southlake, TX 76092
Phone
(972) 636-4902
Listed under
Individual clinicians
NPI
1912520669
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
Credentials listed
MD, MPH
License number on NPI record
A185158 (CA)
NPI first issued
May 28, 2020
NPI record last updated
Jun 22, 2026

NPI 1912520669 is active in the federal NPPES registry (CMS); license A185158 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1912520669 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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