Organization Active NPI

Restorative Health and Healing Center LLC

  • Public Health & General Preventive Medicine Physician
  • Estero, FL
National Provider Identifier
1255622957
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
RESTORATIVE HEALTH AND HEALING CENTER LLC
Practice address
10201 Arcos Ave Ste 201
Estero, FL 33928-9461
Phone
(314) 239-0173
Fax
(239) 948-0179
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Mr. Mark D. Sievers
Title
Practice Manager
Phone
(314) 239-0173

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Public Health & General Preventive Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

10201 Arcos Ave Ste 201
Estero, FL 33928-9461

Mailing address

10201 Arcos Ave Ste 201
Estero, FL 33928-9461
Phone (314) 239-0173

National Provider Directory

National Provider Directory

Locations

10201 Arcos Ave
Ste 201
Estero, FL 33928
Phone (239) 992-7822

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1255622957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461",
            "telephone_number": "314-239-0173",
            "fax_number": "239-948-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461",
            "telephone_number": "314-239-0173",
            "fax_number": "239-948-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE HEALTH AND HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "SIEVERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-239-0173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.