Organization Active NPI

Restoration Plastic Surgery, PC

  • Plastic Surgery Physician
  • Westminster, CO
National Provider Identifier
1396755534
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RESTORATION PLASTIC SURGERY, PC
Practice address
12207 Pecos St
Suite 300
Westminster, CO 80234-3892
Phone
(303) 466-3261
Fax
(303) 466-3674
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Mitchell Fremling, M.D.NPI 1356306294
Title
Owner
Phone
(303) 466-3261

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

12207 Pecos St
Suite 300
Westminster, CO 80234-3892

Mailing address

12207 Pecos St
Suite 300
Westminster, CO 80234-3892
Phone (303) 466-3261

Other identifiers 1

IdentifierTypeStateIssuer
33252343MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050117000453 CO Part B Supplier - Clinic/Group Practice 4789633769 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CO; Lafayette, CO; Louisville, CO

National Provider Directory

National Provider Directory

Locations

340 E 1st Ave
Ste 333
Broomfield, CO 80020
Phone (303) 466-3261

2201 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 234-0445

9195 Grant St
Thornton, CO 80229
Phone (303) 280-2229

12207 Pecos St
Ste 300
Westminster, CO 80234
Phone (303) 466-3261

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFGDD

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1396755534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST",
            "address_2": "SUITE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343892",
            "telephone_number": "303-466-3261",
            "fax_number": "303-466-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST",
            "address_2": "SUITE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343892",
            "telephone_number": "303-466-3261",
            "fax_number": "303-466-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "FREMLING",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-466-3261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33252343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.