NPIMap

Organization Active NPI

Restoration of Focus: Holistic & Naturopathic Body Sculpting-Fat Loss

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raeford, NC
National Provider Identifier
1043778855
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RESTORATION OF FOCUS: HOLISTIC & NATUROPATHIC BODY SCULPTING-FAT LOSS
Practice address
310 Birch St
Raeford, NC 28376-3297
Phone
(910) 248-9180
Fax
(877) 519-9597
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. Kris Falcon, PHD, CADC II, MAC,
Title
Owner an Provider
Phone
(910) 248-9180

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical TechniciansGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1710I1003X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Community Health Clinic/Center 261QC1500X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Religious Nonmedical Health Care Institution 282J00000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Substance Abuse Rehabilitation Facility 324500000X
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

310 Birch St
Raeford, NC 28376-3297

Mailing address

310 Birch St
Raeford, NC 28376-3297
Phone (910) 248-9180

Other names 1

  • Kris Williams-Falcon Doing business as

National Provider Directory

National Provider Directory

Locations

310 Birch St
Raeford, NC 28376
Phone (910) 248-9180

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": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1043778855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763297",
            "telephone_number": "910-248-9180",
            "fax_number": "877-519-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763297",
            "telephone_number": "910-248-9180",
            "fax_number": "877-519-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION OF FOCUS: HOLISTIC & NATUROPATHIC BODY SCULPTING-FAT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER AN PROVIDER",
        "authorized_official_telephone_number": "910-248-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CADC II, MAC,"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kris Williams-Falcon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.