1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Clinic Center
  6. NPI Profile

LIFERESTORE MD USA LLC
NPI 1922542075
Clinic/Center - Multi-Specialty in Dallas, TX

Active since December 08, 2016
411 N WASHINGTON AVE # 2600, DALLAS, TX 75246(214) 699-4077(469) 270-8239 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Mar 25, 2021, Apr 1, 2020 and 3 more (6 updates tracked since 2018).

About Liferestore Md Usa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFERESTORE MD USA LLC (NPI 1922542075), doing business as Restoredoc Md, is a healthcare organization registered as a multi-specialty in Dallas, Texas and active in the NPI registry since December 2016. The organization lists David Akina, Owner, as its authorized official.

NPPES Registry Identity

NPI1922542075
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIFERESTORE MD USA LLC
Location Address411 N WASHINGTON AVE # 2600Dallas, TX 75246-1713
Mailing Address411 N Washington Ave # 2600Dallas, TX 75246-1713 · (214) 699-4077
Phone(214) 699-4077
Fax(469) 270-8239
Organization SubpartNo
Authorized OfficialDavid AkinaOwner · (808) 489-8900
Enumeration DateDecember 8, 2016
Last NPPES UpdateDecember 11, 20256 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1922542075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
411 N WASHINGTON AVE # 2600, Dallas, TX 75246
Open in Google Maps ↗

Other Names 1

Doing Business AsRestoredoc Md

Other Identifiers 1

Other1922542075TX · Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liferestore Md Usa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liferestore MD Usa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julio Olivieri, M.D.
Internal Medicine
NPI 1881605780
3224 I 30 STE 118
Mesquite, TX 75150
(972) 697-8580
✔ PECOS✔ Accepts Medicare7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liferestore MD Usa LLC's NPI number?

The NPI number for Liferestore MD Usa LLC is 1922542075. It was assigned to this organization in the NPPES registry on December 8, 2016. The provider is doing business as RestoreDOC MD.

Where is Liferestore MD Usa LLC located?

Liferestore MD Usa LLC is located at 411 N Washington Ave # 2600, Dallas, TX 75246. The listed phone number is (214) 699-4077.

What is Liferestore MD Usa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Liferestore MD Usa LLC enrolled in Medicare?

Yes. Liferestore MD Usa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liferestore MD Usa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Liferestore MD Usa LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Liferestore MD Usa LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.