Alpha Restoration, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

ALPHA RESTORATION, LLC

Practice address

1320 Michelle CT Apt S
Colorado Springs, CO 80916-1908

Phone

(303) 883-5767

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Brendan Moorehead, BA, MS

Title

Director

Phone

(303) 883-5767

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1770137010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15344",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809355344",
            "telephone_number": "303-883-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MICHELLE CT APT S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809161908",
            "telephone_number": "303-883-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "MOOREHEAD",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-883-5767",
        "authorized_official_credential": "BA, MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@doubleyourvitality.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1320 Michelle Ct Apt S",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809161908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@doubleyourvitality.com",
            "affiliation": "N",
            "endpointDescription": "secure encrypted email, HIPAA-compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 Michelle Ct Apt S",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809161908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.