Organization Active NPI

Healing and Restoring PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Niles, MI
National Provider Identifier
1891108148
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
4301089165 Issued in MI
Legal business name
HEALING AND RESTORING PLLC
Practice address
44 Longmeadow LN
Niles, MI 49120-7802
Phone
(269) 262-4229
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Jose Elias Gomez, M.D.
Title
Chairman
Phone
(269) 262-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X 4301089165 MI Primary

Addresses

Primary practice location

44 Longmeadow LN
Niles, MI 49120-7802

Mailing address

44 Longmeadow LN
Niles, MI 49120-7802
Phone (269) 262-4229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1891108148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LONGMEADOW LN",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207802",
            "telephone_number": "269-262-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LONGMEADOW LN",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207802",
            "telephone_number": "269-262-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND RESTORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "269-262-4229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MI",
            "license": "4301089165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.