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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADVANCED RECONSTRUCTION AND AESTHETICS PLLC
NPI 1275171993
Plastic Surgery in Phoenix, AZ

Active since December 12, 2019CLIA 03D2313150 · Waiver
4630 E INDIAN SCHOOL RD, PHOENIX, AZ 85018(602) 584-8883(602) 899-4161 Get Directions Write a Review

NPPES record last updated: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 26, 2026, Apr 16, 2020, Dec 12, 2019 (3 updates tracked since 2019).

About Advanced Reconstruction And Aesthetics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED RECONSTRUCTION AND AESTHETICS PLLC (NPI 1275171993), doing business as Craftmd, is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Randall Oliver Craft, Owner, as its authorized official.

NPPES Registry Identity

NPI1275171993
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameADVANCED RECONSTRUCTION AND AESTHETICS PLLC
Location Address4630 E INDIAN SCHOOL RDPhoenix, AZ 85018-5416
Mailing Address4630 E Indian School RdPhoenix, AZ 85018-5416 · (602) 584-8883 · Fax (602) 899-4161
Phone(602) 584-8883
Fax(602) 899-4161
Organization SubpartNo
Authorized OfficialRandall Oliver CraftOwner · (602) 584-8883
Enumeration DateDecember 12, 2019
Last NPPES UpdateSeptember 26, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2026
✔ NPI 1275171993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
4630 E INDIAN SCHOOL RD, Phoenix, AZ 85018
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Other Names 1

Doing Business AsCraftmd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2313150

Advanced Reconstruction & Aesthetics LLC · Phoenix, AZ
Active · expires Oct 24, 2026
CLIA Number03D2313150
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorRandall O. Craft
Laboratory Phone(602) 899-6444
Laboratory LocationAdvanced Reconstruction & Aesthetics LLC4630 E Indian School Rd, Phoenix, AZ 85018
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW H ANDERSEN MD
Anesthesiology
4630 E INDIAN SCHOOL RD
PHOENIX, AZ 85018
Maricopa County (028) 996-4446
DR. RANDALL O CRAFT M.D.
Plastic Surgery
4630 E INDIAN SCHOOL RD
PHOENIX, AZ 85018
Maricopa County (602) 584-8883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Reconstruction And Aesthetics PLLC's NPI number?

The NPI number for Advanced Reconstruction And Aesthetics PLLC is 1275171993. It was assigned to this organization in the NPPES registry on December 12, 2019. The provider is doing business as CraftMD.

Where is Advanced Reconstruction And Aesthetics PLLC located?

Advanced Reconstruction And Aesthetics PLLC is located at 4630 E Indian School Rd, Phoenix, AZ 85018. The listed phone number is (602) 584-8883.

What is Advanced Reconstruction And Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Advanced Reconstruction And Aesthetics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2313150) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Reconstruction And Aesthetics PLLC was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.