The Restorative Pain to Wellness Center, Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

4209 Issued in OK

Legal business name

THE RESTORATIVE PAIN TO WELLNESS CENTER, INC.

Practice address

2033 W Houston St
Broken Arrow, OK 74012-8304

Phone

(918) 743-3636

Fax

(918) 743-3663

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joshua James Livingston, D.O.

Title

Owner

Phone

(918) 743-3636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1154694537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304",
            "telephone_number": "918-743-3636",
            "fax_number": "918-743-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304",
            "telephone_number": "918-743-3636",
            "fax_number": "918-743-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESTORATIVE PAIN TO WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-743-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OK",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Pain Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.