Organization Active NPI

Addiction Recovery Centers, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Aurora, CO
National Provider Identifier
1780160564
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
CDRH.0035543 Issued in CO
Legal business name
ADDICTION RECOVERY CENTERS, LLC
Practice address
15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548
Phone
(720) 878-7055
Fax
(720) 390-5188
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Nathaniel J Moore, MDNPI 1275570301
Title
President
Phone
(720) 878-7055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X CDRH.0035543 CO Primary

Addresses

Primary practice location

15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548

Mailing address

15101 E Iliff Ave Ste 250
Aurora, CO 80014-4552
Phone (720) 878-7055

Other names 1

  • ARCH Detox Doing business as

National Provider Directory

National Provider Directory

Locations

15101 E Iliff Ave
Ste 250
Aurora, CO 80014
Phone (303) 641-2068

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1780160564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 E ILIFF AVE STE 250",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144552",
            "telephone_number": "720-878-7055",
            "fax_number": "720-390-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 E ILIFF AVE STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144548",
            "telephone_number": "720-878-7055",
            "fax_number": "720-390-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RECOVERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-878-7055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "CDRH.0035543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCH Detox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARCH Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.