Julie Lee Restad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2135 Issued in ID

Practice address

1012 W Main St
Middleton, ID 83644-5270

Phone

(208) 402-8002

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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.

• Restad Chiropractic PLLC

  • Chiropractor
  • Middleton, ID
  • NPI 1801097746

  ID

  Medicare reassignment Authorized official
• Wroten Chiropractic Incorporated

  • Chiropractor
  • Petaluma, CA
  • NPI 1427720226
  NPD
• Brady Fortes Chiropractic Corporation

  • Chiropractor
  • Folsom, CA
  • NPI 1427278902
  NPD (past)

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2022.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1265633192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445270",
            "telephone_number": "208-402-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445270",
            "telephone_number": "208-402-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTAD",
        "first_name": "JULIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29715",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Middleton, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.