Individual provider Active NPI

Julie Lee Restad, D.C.

  • Chiropractor
  • Middleton, ID
National Provider Identifier
1265633192
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29715 CA
Chiropractor 111N00000X CHIA-2135 ID Primary

Addresses

Primary practice location

1012 W Main St
Middleton, ID 83644-5270

Mailing address

1012 W Main St
Middleton, ID 83644-5270
Phone (208) 402-8002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221001949 ID Practitioner - Chiropractic 7315957818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1012 W Main St
Middleton, ID 83644-5270
Phone (208) 402-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29715CAMDClinical Social Worker
DC29715CAMDChiropractor
CHIA-2135IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wroten Chiropractic Incorporated Chiropractor CurrentSince Oct 5, 2021 Accepting new patients
Brady Fortes Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

1301 Redwood Way
Ste 150
Petaluma, CA 94954
Phone (707) 773-2225

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "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": []
}

Other providers in Middleton, ID

Sources for this page

  • 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.