Organization Active NPI

Creative Restorations, Inc

  • Peer Specialist
  • West Seneca, NY
National Provider Identifier
1184401655
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
CREATIVE RESTORATIONS, INC
Practice address
40 Gardenville Pkwy W Ste 101
West Seneca, NY 14224-1387
Phone
(716) 324-5255
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Chris Allen Harzynski, CASAC-T/CRPA-PNPI 1457138927
Title
Director/President/Treasurer
Phone
(716) 553-4886

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
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

40 Gardenville Pkwy W Ste 101
West Seneca, NY 14224-1387

Mailing address

190 Dean Rd
Depew, NY 14043-1308
Phone (716) 553-4886

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1184401655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DEAN RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431308",
            "telephone_number": "716-553-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY W STE 101",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-324-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE RESTORATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "HARZYNSKI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "716-553-4886",
        "authorized_official_credential": "CASAC-T/CRPA-P"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.