OrganizationActive
Artistic Plastic Surgery Center PLLC
NPI 1457412017 · Plastic Surgery Physician · Tacoma, WA
Provider details
- NPI number
- 1457412017
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northstar Surgical Services, PLLC
- Organization subpart
- Yes
- Authorized official
- Kelly Lane, Administrator(253) 756-0933
- License
- 602804600 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3515 S 15th St
Suite 101
Tacoma, WA 98405-1952
Phone: (253) 756-0933
Fax: (253) 759-6553
Street-level locationGet directions
Mailing address
3515 S 15th St
Tacoma, WA 98405-1952
Other names (DBA / former)
- Doing business as
- Artistic Plastic Surgery Center
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-01-30
- Certified
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.