Active NPI
Restorative Health and Healing Center LLC
- Public Health & General Preventive Medicine Physician
- Estero, FL
National Provider Identifier
1255622957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Public Health & General Preventive Medicine Physician | 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 DirectoryLocations
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.