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

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NPI Details

DR. Nicholas Till Haddock, M.D. is a plastic surgery in Dallas, TX with 21 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Surgical change to reconstructed breast (HCPCS:19380)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Removal of capsule around breast implant (HCPCS:19371)
  • Reconstruction of breast with tissue graft (HCPCS:19364)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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