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

NPI Status: Active since October 07, 2014

Contact Information

6 W GE PATTERSON AVE
SUITE 102
MEMPHIS, TN
ZIP 38103
Phone: (901) 410-5375
Fax: (800) 977-4149

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  • Organization
  • Anaplastologist

About THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION

This page provides the complete NPI Profile along with additional information for The Center For Alloplastic Facial Reconstruction, a provider established in Memphis, Tennessee operating as a Anaplastologist. The healthcare provider is registered in the NPI registry with number 1962805812 assigned on October 2014. The practitioner's primary taxonomy code is 229N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The Center For Alloplastic Facial Reconstruction operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as The Center For Alloplastic Facial Reconstruction. The authorized official of this NPI record is Mr. Michael D Kaczkowski (President)

NPI
1962805812
Provider Legal Name
ALLOPLASTIC RECONSTRUCTION
Other Organization Name
THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6 W GE PATTERSON AVE SUITE 102 MEMPHIS, TN 38103
Location Phone
(901) 410-5375
Location Fax
(800) 977-4149
Mailing Address
220 N. VAN BUREN LITTLE ROCK, AR 72205
Mailing Phone
(501) 265-0100
Mailing Fax
(800) 977-4149
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-07-2014
Last Update Date
01-09-2015
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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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1156FX1700XEye and Vision Services Providers

Technician/Technologist
Ocularist

 
2335E00000XSuppliers

Prosthetic/Orthotic Supplier

OPP00038 (AR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL D KACZKOWSKI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(501) 265-0100

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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 1962805812, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 8 → 16 → 7 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 6 + 0 + 1 + 0 + 8 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1962805812.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinical Medical Laboratory
6 W GE PATTERSON AVE, SUITE 101
MEMPHIS, TN 38103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962805812, enumerated as an "organization" on October 07, 2014.

The provider is located at 6 W GE PATTERSON AVE SUITE 102 MEMPHIS, TN 38103 and the phone number is (901) 410-5375.

Anaplastologist with taxonomy code 229N00000X.