Active NPI
Addiction Recovery Centers, LLC
- Addiction Medicine (Family Medicine) Physician
- Aurora, CO
National Provider Identifier
1780160564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- CDRH.0035543
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathaniel J Moore, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.