Organization Active NPI

Restoration Chiropractic LLC

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1386201952
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORATION CHIROPRACTIC LLC
Practice address
8641 W 13TH St N Ste 107
Wichita, KS 67212-6280
Phone
(316) 444-0168
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Grady Goff, DC
Title
Owner/ Chiropractor
Phone
(316) 444-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8641 W 13TH St N Ste 107
Wichita, KS 67212-6280

Mailing address

8641 W 13TH St N Ste 107
Wichita, KS 67212-6280
Phone (316) 444-0168

National Provider Directory

National Provider Directory

Locations

8641 W 13th St N
Ste 107
Wichita, KS 67212
Phone (316) 444-0168

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1386201952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 W 13TH ST N STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126280",
            "telephone_number": "316-444-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 W 13TH ST N STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126280",
            "telephone_number": "316-444-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "316-444-0168",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.