Organization Active NPI

KM Facial Plastics

  • Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1780514463
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KM FACIAL PLASTICS
Practice address
4789 Blossom Dr
Delray Beach, FL 33445-5323
Phone
(561) 200-5095
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jaclyn Klimczak, MDNPI 1497119523
Title
Chief Medical Officer
Phone
(561) 200-5095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4789 Blossom Dr
Delray Beach, FL 33445-5323

Mailing address

4789 Blossom Dr
Delray Beach, FL 33445-5323
Phone (561) 200-5095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1780514463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 BLOSSOM DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455323",
            "telephone_number": "561-200-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 BLOSSOM DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455323",
            "telephone_number": "561-200-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM FACIAL PLASTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "KLIMCZAK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "561-200-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.