Restored Health & Wellness Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

3690 Issued in OK

Legal business name

RESTORED HEALTH & WELLNESS CENTER

Practice address

4329 S Peoria Ave
Suite 350
Tulsa, OK 74105-3935

Phone

(918) 712-8616

Fax

(918) 712-8612

NPI assigned

Mar 29, 2007

Last updated

Jan 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chrystal P Lewis, D.CCNPI 1255418620

Title

Owner

Phone

(918) 712-8616

Specialties & licenses 1

Addresses

Locations

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.

• Chrystal P Lewis, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1255418620
  Authorized official Same address or phone

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1063532760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 S PEORIA AVE",
            "address_2": "SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053935",
            "telephone_number": "918-712-8616",
            "fax_number": "918-712-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 S PEORIA AVE",
            "address_2": "SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053935",
            "telephone_number": "918-712-8616",
            "fax_number": "918-712-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-712-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.CC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Exclusive Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.