LIFE RESTORE MD
NPI 1538615695
General Practice in Carrollton, TX

NPI Status: Active since August 29, 2016

Contact Information

3012 E HEBRON PKWY
SUITE 116
CARROLLTON, TX
ZIP 75010
Phone: (214) 444-7567

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  • Organization
  • General Practice

About LIFE RESTORE MD

This page provides the complete NPI Profile along with additional information for Life Restore Md, a primary care provider established in Carrollton, Texas operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1538615695 assigned on August 2016. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jorge N Chavarria (Owner)

NPI
1538615695
Provider Name
LIFE RESTORE MD
Entity Type
Organization
Location Address
3012 E HEBRON PKWY SUITE 116 CARROLLTON, TX 75010
Location Phone
(214) 444-7567
Mailing Address
3012 E HEBRON PKWY SUITE 116 CARROLLTON, TX 75010
Mailing Phone
(214) 444-7567
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2016
Last Update Date
08-29-2016
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A primary care provider (PCP) like Life Restore Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORGE N CHAVARRIA

Authorized Official Title
OWNER
Authorized Official Phone
(469) 583-5807

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538615695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256812110618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 2 + 1 + 1 + 0 + 6 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1538615695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841228111 KAREN ELIZABETH ALLEN O.D.
Individual
Optometrist3012 E HEBRON PKWY SUITE 100
CARROLLTON, TX 75010
(972) 307-5000
1134344534 MARK BARNETT
Individual
Dentist (General Practice)3012 E HEBRON PKWY #108
CARROLLTON, TX 75010
(972) 662-3111
1821219031 DEBBIE GARRETT
Individual
Dental Hygienist3012 E HEBRON PKWY STE 108
CARROLLTON, TX 75010
(972) 662-3111
1841411055 DANIELLE TRAVALINI
Individual
Dental Hygienist3012 E HEBRON PKWY STE 108
CARROLLTON, TX 75010
(972) 662-3111
1003037177 ERIC FOX
Individual
Dental Hygienist3012 E HEBRON PKWY STE 108
CARROLLTON, TX 75010
(972) 662-3111
1003053703KENNETH E. BAIRD, M.D., P.A.
Organization
Clinic/Center3012 E HEBRON PKWY STE 110
CARROLLTON, TX 75010
(214) 263-3234
1629207758DR. JANNA ELOISE BURNETT DDS
Individual
Dentist3012 E HEBRON PKWY SUITE 108
CARROLLTON, TX 75010
(972) 662-3111
1033517958 MATTHEW TASSINARI
Individual
Physician Assistant (Medical)3012 E HEBRON PKWY SUITE 116
CARROLLTON, TX 75010
(214) 200-4277
1376080770REBALANCE WELLNESS CENTERS
Organization
Surgery (Plastic and Reconstructive Surgery)3012 E HEBRON PKWY SUITE 116
CARROLLTON, TX 75010
(214) 200-4277
1225700123 SARAH GRANDBERRY
Individual
Counselor (Mental Health)3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 456-6767
1255905972MS. ANALIA M BAEZ-ALVAREZ
Individual
Behavior Technician3012 E HEBRON PKWY SUITE 118
CARROLLTON, TX 75010
(855) 782-7822
1679759856MARY ANNE PECK, P. C.
Organization
Optometrist3012 E HEBRON PKWY SUITE 100
CARROLLTON, TX 75010
(972) 307-5000
1063135549 HOLLY EAGLE
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(855) 782-7822
1922705292 KYLEE WHITELEATHER
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(855) 782-7822
1083405054 CHIKE PAUL OKWEGBA II
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903
1316738388 ASHER MICHAEL HAVENS
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903
1518758572 TASHEEL VALJI
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903
1548051592 JENNIFER XIKLALI REYES
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903
1629869664 DIAMOND ELISE MASSEY
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903
1679364632 ANDONY BYRON YBARRA
Individual
Behavior Technician3012 E HEBRON PKWY
CARROLLTON, TX 75010
(469) 546-9903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538615695, enumerated in the NPI registry as an "organization" on August 29, 2016

The provider is located at 3012 E Hebron Pkwy Suite 116 Carrollton, Tx 75010 and the phone number is (214) 444-7567

This medical organization specializes in General Practice with taxonomy code 208D00000X

This NPI record was last updated on August 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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