Alloplastic Reconstruction
NPI 1962805812ActiveOrganization· Anaplastologist· Memphis, TN
Anaplastologist in Memphis, Tennessee, registered in NPPES in October 2014, part of Alloplastic Reconstruction. The authorized official on file is Michael D. Kaczkowski, President.
Overview
| NPI | 1962805812 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Alloplastic Reconstruction |
| NPI issued | Oct 7, 2014 |
| Last updated in NPPES | Jan 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anaplastologist Primary | 229N00000X | — | — |
| Technician/Technologist, Ocularist | 156FX1700X | — | — |
| Prosthetic/Orthotic Supplier | 335E00000X | OPP00038 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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