NPI age
15 years
Enumerated 2010-08-03
● Active
Type 1 · Individual
DR. Dustin Clifton Derrick, M.D.
Derrick is 1 of 32 plastic surgery providers in Fort Worth and 1 of 618 in Texas.
Primary specialty
Plastic Surgery
Plus 2 subspecialties
Licensed in
TX, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 618 active plastic surgery providers in Texas.
NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
2
In the 24% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-08Enumerated in NPPES
2010
2026
Where they practice
Practice location
800 12th Ave Ste 100
Fort Worth, TX 761042519
Mailing address
800 12th Ave Ste 100
Fort Worth, TX 761042519
Specialties
-
Plastic Surgery PrimaryA 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...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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