Restoration Dermatology Lounge LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RESTORATION DERMATOLOGY LOUNGE LLC

Practice address

8753 E Bell Rd Ste D101
Scottsdale, AZ 85260-1307

Phone

(480) 297-0727

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Patterson, NPNPI 1972669455

Title

Owner

Phone

(480) 297-0727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ryan Trevor Patterson, DCNP

  • Dermatology Physician
  • Terre Haute, IN
  • NPI 1972669455

  Nurse Practitioner

  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1861091514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 E BELL RD STE D101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601307",
            "telephone_number": "480-297-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DERMATOLOGY LOUNGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-297-0727",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen Resnick, PHARMACIST
• Stephen Brian Resnick, DMD
• Stephanie Kay Ressler
• Steven W Ressler, M.D.
• Restful Dental Sleep Care LLC
• Restorative Health PLLC
• Restore Medical PLLC
• Restore Physical Therapy and Wellness
• Restore Vascular PLLC
• Rethrive PLLC

• Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.