Optimal Health Alliance LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

OPTIMAL HEALTH ALLIANCE LLC

Practice address

15912 E Kim Dr
Fountain Hills, AZ 85268-1828

Phone

(443) 880-0843

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Todd Bauer

Title

Owner & Operator

Phone

(443) 880-0843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1639947112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15912 E KIM DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681828",
            "telephone_number": "443-880-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15912 E KIM DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681828",
            "telephone_number": "443-880-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "443-880-0843"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.