Organization Active NPI

Align & Restore Chiropractic

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1023690120
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALIGN & RESTORE CHIROPRACTIC
Practice address
1711 W Gore Blvd Ste C
Lawton, OK 73501-3638
Phone
(580) 695-5273
Fax
(580) 209-4670
NPI assigned
Apr 27, 2021
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dr. Michelle L Adams, DCNPI 1699176107
Title
Owner / Chiropractor
Phone
(580) 695-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1711 W Gore Blvd Ste C
Lawton, OK 73501-3638

Mailing address

1711 W Gore Blvd Ste C
Lawton, OK 73501-3638
Phone (580) 695-5273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610001847 OK Part B Supplier - Clinic/Group Practice 8123428299 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK

National Provider Directory

National Provider Directory

Locations

1709 W Gore Blvd
Ste C
Lawton, OK 73501

1711 W Gore Blvd
Lawton, OK 73501
Phone (580) 695-5273

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1023690120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W GORE BLVD STE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013638",
            "telephone_number": "580-695-5273",
            "fax_number": "580-209-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W GORE BLVD STE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013638",
            "telephone_number": "580-695-5273",
            "fax_number": "580-209-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN & RESTORE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "580-695-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.