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THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION
NPI 1962805812
Anaplastologist in Memphis, TN

Active since October 07, 2014
6 W GE PATTERSON AVE, SUITE 102, MEMPHIS, TN 38103(901) 410-5375(800) 977-4149 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Center For Alloplastic Facial Reconstruction NPPES

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

THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION (NPI 1962805812) is a healthcare organization registered as an anaplastologist in Memphis, Tennessee and active in the NPI registry since October 2014. The organization lists Michael D Kaczkowski, President, as its authorized official.

NPPES Registry Identity

NPI1962805812
Entity TypeOrganization
Primary Taxonomy229N00000X
Legal Business NameALLOPLASTIC RECONSTRUCTION
Location Address6 W GE PATTERSON AVE, SUITE 102Memphis, TN 38103-6413
Mailing Address220 N. Van BurenLittle Rock, AR 72205 · (501) 265-0100 · Fax (800) 977-4149
Phone(901) 410-5375
Fax(800) 977-4149
Organization SubpartYes
Authorized OfficialMichael D KaczkowskiPresident · (501) 265-0100
Enumeration DateOctober 7, 2014
Last NPPES UpdateJanuary 9, 2015
✔ NPI 1962805812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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).
Also ListedTechnician/Technologist · OcularistTaxonomy 156FX1700X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License OPP00038 (AR)
6 W GE PATTERSON AVE, Memphis, TN 38103
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Other Names 1

Doing Business AsThe Center For Alloplastic Facial Reconstruction

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SILICONE OCULAR
Clinical Medical Laboratory
6 W GE PATTERSON AVE, SUITE 101
MEMPHIS, TN 38103
Shelby County (901) 405-4440

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 Alloplastic Reconstruction's NPI number?

The NPI number for Alloplastic Reconstruction is 1962805812. It was assigned to this organization in the NPPES registry on October 7, 2014. The provider is doing business as The Center For Alloplastic Facial Reconstruction.

Where is Alloplastic Reconstruction located?

Alloplastic Reconstruction is located at 6 W Ge Patterson Ave Suite 102, Memphis, TN 38103. The listed phone number is (901) 410-5375.

What is Alloplastic Reconstruction'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 Alloplastic Reconstruction was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.