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

Q: What is Advanced Reconstruction And Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 12, 2019CLIA 03D2313150 · Waiver

6036 N 19TH AVE STE 501, PHOENIX, AZ 85015(602) 899-6444(602) 899-4161 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 16, 2020, Dec 12, 2019 (2 updates tracked since 2019).

On this page

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) is a healthcare organization registered as a 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 Taxonomy208600000X

Legal Business NameADVANCED RECONSTRUCTION AND AESTHETICS PLLC

Location Address6036 N 19TH AVE STE 501Phoenix, AZ 85015-2143

Mailing Address6036 N 19th Ave Ste 501Phoenix, AZ 85015-2143 · (602) 899-6444 · Fax (602) 899-4161

Phone(602) 899-6444

Fax(602) 899-4161

Organization SubpartNo

Authorized OfficialRandall Oliver CraftOwner · (602) 899-6444

Enumeration DateDecember 12, 2019

Last NPPES UpdateApril 16, 20202 updates tracked since enumeration

NPPES CertifiedApril 16, 2020

✔ NPI 1275171993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A 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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6036 N 19TH AVE STE 501, Phoenix, AZ 85015

Open in Google Maps ↗

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: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. RANDALL O CRAFT M.D.

Surgery (Plastic and Reconstructive Surgery)

6036 N 19TH AVE STE 501
PHOENIX, AZ 85015

Maricopa County (602) 899-6444

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.

Where is Advanced Reconstruction And Aesthetics PLLC located?

Advanced Reconstruction And Aesthetics PLLC is located at 6036 N 19th Ave Ste 501, Phoenix, AZ 85015. The listed phone number is (602) 899-6444.

What is Advanced Reconstruction And Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.