Alpha Wave Health Centers LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ALPHA WAVE HEALTH CENTERS LLC

Practice address

10 Waterside Dr Ste 101
Farmington, CT 06032-3056

Phone

(860) 798-0555

NPI assigned

Nov 17, 2019

Last updated

Nov 17, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ALPHA WAVE HEALTH CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Goran Mladen

Title

Owner

Phone

(386) 871-1975

Specialties & licenses 1

Addresses

Part of

Augustine Health Inc

Locations

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573948800000",
    "number": "1811532500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WATERSIDE DR STE 101",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323056",
            "telephone_number": "860-798-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA WAVE HEALTH CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA WAVE HEALTH CENTERS LLC",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A",
        "authorized_official_last_name": "MLADEN",
        "authorized_official_first_name": "GORAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-871-1975"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Almeida, APRN
• Abdulaziz Almihbash, DMD
• Douglas V Almond, M.D.
• Sara Almoushref, DDS
• Moumen Shehda Almouzayn, DMD
• Abdullah I Alqaied, D.D.S.
• Dana Mohamad Ahmad Alqudah, DDS
• Sharifah Alrushaid, BDSC
• Wesam Talal Alsalman
• Jill K Alsgaard, APRN

• Clinic/Center in Farmington, CT
• Providers in Farmington, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.