Active NPI
Revive Treatment Centers of America
- Neurology Physician
- Wheat Ridge, CO
National Provider Identifier
1740724087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- REVIVE TREATMENT CENTERS OF AMERICA
- Practice address
- 4885 Ward Rd
Suite 300
Wheat Ridge, CO 80033-1945 - Phone
- (303) 339-0531
- NPI assigned
- Dec 6, 2016
- 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
- Joshua Flowers
- Title
- Ceo
- Phone
- (970) 668-3117
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
4885 Ward Rd
Suite 300
Wheat Ridge, CO 80033-1945
Mailing address
4885 Ward Rd
Suite 300
Wheat Ridge, CO 80033
Phone (303) 339-0531
National Provider Directory
National Provider DirectoryLocations
4885 Ward Rd
Ste 300
Wheat Ridge, CO 80033
Phone (303) 339-0531
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Chiropractor
- Fort Worth, TX
- NPI 1538562475
-
- Neurology Chiropractor
- Denver, CO
- NPI 1407426679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1740724087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 WARD RD",
"address_2": "SUITE 300",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "303-339-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4885 WARD RD",
"address_2": "SUITE 300",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800331945",
"telephone_number": "303-339-0531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE TREATMENT CENTERS OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "FLOWERS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-668-3117"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.