JAY DONALD MCCLENNEN AOCAD
NPI 1629214168
Anaplastologist in Durham, NC

Q: What is Jay Mcclennen's NPI number?

The NPI number for Jay Mcclennen is 1629214168. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Q: What is Jay Mcclennen's specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Mcclennen was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 06, 2009

1911 HILLANDALE RD, UNIT 1110, DURHAM, NC 27705(919) 383-1205 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jay Donald Mcclennen Aocad NPPES

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

JAY DONALD MCCLENNEN AOCAD (NPI 1629214168) is an individual anaplastologist provider in Durham, North Carolina and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1629214168

Entity TypeIndividualMale

Primary Taxonomy229N00000X

Provider Legal NameJAY DONALD MCCLENNENCredential: AOCAD

Location Address1911 HILLANDALE RD, UNIT 1110Durham, NC 27705-2666

Mailing Address1911 Hillandale Rd, Unit 1110Durham, NC 27705-2666 · (919) 383-1205

Phone(919) 383-1205

Sole ProprietorNo

Enumeration DateJanuary 6, 2009

✔ NPI 1629214168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code229N00000X

Definition

An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).

1911 HILLANDALE RD, Durham, NC 27705

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Other Providers at the Same Location NPPES 3

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

DR. DAVID MICHAEL SUSCO M.D.

Psychiatry & Neurology (Psychiatry)

1911 HILLANDALE RD, SUITE 1040
DURHAM, NC 27705

Durham County (919) 382-1933

MRS. JANE LUPTON BAHOR CCA/ANAPLASTOLOGIST

Anaplastologist

1911 HILLANDALE RD, SUITE 1110
DURHAM, NC 27705

Durham County (919) 383-1205

MS. VIRGINIA BRISTOL MSW

Social Worker (Clinical)

1911 HILLANDALE RD, SUITE 1040
DURHAM, NC 27705

Durham County (919) 383-0055

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 Jay Mcclennen's NPI number?

The NPI number for Jay Mcclennen is 1629214168. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Jay Mcclennen located?

Jay Mcclennen practices at 1911 Hillandale Rd Unit 1110, Durham, NC 27705. The listed phone number is (919) 383-1205.

What is Jay Mcclennen's specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

When was this NPI record last updated?

The NPPES record for Jay Mcclennen was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.