Organization Active NPI

Revive Treatment Centers of America

  • Neurology Physician
  • Wheat Ridge, CO
National Provider Identifier
1740724087
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Joshua FlowersNPI 1538562475
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)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.