Individual provider Active NPI

Lawrence Thomas Restieri, D.C.

  • Chiropractor
  • High Springs, FL
National Provider Identifier
1265461602
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 7859 Issued in FL
Practice address
18245 NW US Highway 441
High Springs, FL 32643-9621
Phone
(386) 454-3941
Fax
(386) 454-4066
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 7859 FL Primary

Addresses

Primary practice location

18245 NW US Highway 441
High Springs, FL 32643-9621

Mailing address

1585 Santa Barbara Blvd
Ste a
Lady Lake, FL 32159-6820
Phone (386) 454-3941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 7859FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic 30a Investments Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1265461602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "386-454-3941",
            "fax_number": "386-454-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439621",
            "telephone_number": "386-454-3941",
            "fax_number": "386-454-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIERI",
        "first_name": "LAWRENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.