Organization Active NPI

Restoration Chiropractic, P.C.

  • Chiropractor
  • Miller Place, NY
National Provider Identifier
1205039914
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-010189 Issued in NY
Legal business name
RESTORATION CHIROPRACTIC, P.C.
Practice address
45 Sylvan Ave
Miller Place, NY 11764-1929
Phone
(631) 331-3621
Fax
(631) 331-3621
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Richard Frederick Ebbrecht, D.C.NPI 1992908685
Title
Owner
Phone
(516) 526-2793

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X-010189 NY Primary

Addresses

Primary practice location

45 Sylvan Ave
Miller Place, NY 11764-1929

Mailing address

45 Sylvan Ave
Miller Place, NY 11764-1929
Phone (631) 331-3621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1205039914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SYLVAN AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641929",
            "telephone_number": "631-331-3621",
            "fax_number": "631-331-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SYLVAN AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641929",
            "telephone_number": "631-331-3621",
            "fax_number": "631-331-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "EBBRECHT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-526-2793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-010189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.