THE ANAPLASTOLOGY CLINIC, LLC
NPI 1922244425
Anaplastologist in Durham, NC
NPI Status: Active since January 05, 2009
Contact Information
2613 CARVER ST
DURHAM, NC
ZIP 27705
Phone: (919) 383-1205
Fax: (919) 383-2838
- Organization
- Anaplastologist
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About THE ANAPLASTOLOGY CLINIC, LLC
This page provides the complete NPI Profile along with additional information for The Anaplastology Clinic, Llc, a provider established in Durham, North Carolina operating as a Anaplastologist. The healthcare provider is registered in the NPI registry with number 1922244425 assigned on January 2009. The practitioner's primary taxonomy code is 229N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jay Donald Mcclennen Cca, Cfm (Chief Anaplastologist)
- NPI
- 1922244425
- Provider Name
- THE ANAPLASTOLOGY CLINIC, LLC
- Entity Type
- Organization
- Location Address
- 2613 CARVER ST DURHAM, NC 27705
- Location Phone
- (919) 383-1205
- Location Fax
- (919) 383-2838
- Mailing Address
- 2613 CARVER ST DURHAM, NC 27705
- Mailing Phone
- (919) 383-1205
- Mailing Fax
- (919) 383-2838
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2009
- Last Update Date
- 07-20-2023
- Code Navigator
The Anaplastology Clinic, Llc is a medicare supplier with PTAN 20554727 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Facial Prostheses or Ocular Prostheses or Somatic Prostheses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anaplastologist
- Taxonomy Code
- 229N00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- 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).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health - EPO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20554727
- Accepts Medicare Assignment
- NO
- Specialities List
- Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Facial Prostheses - Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
- Ocular Prostheses - Prosthetic eyes
- Somatic Prostheses - Finger prosthesis, Hand prosthesis, Toe prosthesis
Reviews for THE ANAPLASTOLOGY CLINIC, LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922244425, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922244425, enumerated as an "organization" on January 05, 2009.
The provider is located at 2613 CARVER ST DURHAM, NC 27705 and the phone number is (919) 383-1205.
Anaplastologist with taxonomy code 229N00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
