Provider Type Icon

DR. NICHOLAS TILL HADDOCK M.D. NPI 1164674651


NPI Information

NPI: 1164674651
Provider Name: DR. NICHOLAS TILL HADDOCK, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1801 INWOOD ROAD
DALLAS, TX
ZIP 75390
Phone: (214) 645-3265
Get Directions

DR. Nicholas Till Haddock, M.D. is a plastic surgery in Dallas, TX with 19 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Nicholas Till Haddock, M.D. NPI is 1164674651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2005

The provider's business location address is:

1801 INWOOD ROAD
DALLAS, TX
ZIP 75390
Phone: (214) 645-3265

The NPI 1164674651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 9/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryP2866TEXASNo
2208200000XPlastic Surgery248029-1NEW YORKNo
32086S0122XSurgeryPlastic and Reconstructive Surgery248029-1NEW YORKNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryP2866TEXASNo
5390200000XStudent in an Organized Health Care Education/Training Program248029-1NEW YORKNo
6208200000XPlastic SurgeryP2866TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.