Liferestore MD USA LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LIFERESTORE MD USA LLC

Practice address

411 N Washington Ave # 2600
Dallas, TX 75246-1713

Phone

(214) 699-4077

Fax

(469) 270-8239

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

David Akina

Title

Owner

Phone

(808) 489-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RestoreDOC MD Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julio Cesar Olivieri Jr., M.D.

  • Internal Medicine Physician
  • Mesquite, TX
  • NPI 1881605780
  Medicare reassignment NPD
• Thomas Edison Leary Jr., FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1679867295
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1922542075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE # 2600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-699-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE # 2600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-699-4077",
            "fax_number": "469-270-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFERESTORE MD USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "AKINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-489-8900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922542075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RestoreDOC MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifenet
• Lifenet
• Lifenet
• Lifenet Services Inc.
• Lifepointe Hospice Dallas Metroplex LLC
• Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR
• Lifespan Pharmacy Inc
• Lifespan Resources of Texas, Inc.
• Lifestyle Changes Wellness Center
• Lifestyle Personal Care Service

• Multi-Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.