ROCKY MOUNTAIN ANAPLASTOLOGY INC NPI 1679002356

NPI Information

NPI: 1679002356
Provider Name: ROCKY MOUNTAIN ANAPLASTOLOGY INC

Doing Business As: PROSTHETIC ILLUSIONS

Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
3405 S YARROW ST UNIT C
LAKEWOOD, CO
ZIP 80227
Phone: (303) 973-8482
Get Directions

ROCKY MOUNTAIN ANAPLASTOLOGY INC is an anaplastologist in Lakewood, CO. The provider is 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). ROCKY MOUNTAIN ANAPLASTOLOGY INC NPI is 1679002356. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prosthetic Illusions.

The provider's business location address is:

3405 S YARROW ST UNIT C
LAKEWOOD, CO
ZIP 80227-901
Phone: (303) 973-8482
Fax: (303) 973-8468

The provider's authorized official is Barbara Y Lillo .
The authorized official title is President and has the following contact phone number (303) 973-8482.

The enumeration date for this NPI number is 6/7/2017 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	156FX1700X	Technician/Technologist	Ocularist	No
2	156FX1800X	Technician/Technologist	Optician	No
3	224900000X	Mastectomy Fitter		No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
5	335E00000X	Prosthetic/Orthotic Supplier		No
6	229N00000X	Anaplastologist		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08835233	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »