Organization Active NPI

Fish Family Health LLC

Doing business as Restore Family Chiropractic

  • Chiropractor
  • Ozark, MO
National Provider Identifier
1467048215
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FISH FAMILY HEALTH LLC
Doing business as
Restore Family Chiropractic
Practice address
5240 N Towne Centre Dr Ste 102B
Ozark, MO 65721-9075
Phone
(417) 581-7141
Fax
(417) 582-7147
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. Zachary Fish, DCNPI 1518466648
Title
Owner/Lead Doctor
Phone
(417) 582-7141

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 Primary

Addresses

Primary practice location

5240 N Towne Centre Dr Ste 102B
Ozark, MO 65721-9075

Mailing address

5240 N Towne Centre Dr Ste 102B
Ozark, MO 65721-9075
Phone (417) 582-7141

Other names 1

  • Restore Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312000085 MO Part B Supplier - Clinic/Group Practice 4789090911 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, MO

National Provider Directory

National Provider Directory

Locations

5240 N Towne Centre Dr
Ste 102B
Ozark, MO 65721
Phone (417) 581-7141

6100 N 19th St
Ozark, MO 65721
Phone (417) 582-7141

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1467048215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 N TOWNE CENTRE DR STE 102B",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219075",
            "telephone_number": "417-582-7141",
            "fax_number": "417-582-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N TOWNE CENTRE DR STE 102B",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219075",
            "telephone_number": "417-581-7141",
            "fax_number": "417-582-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/LEAD DOCTOR",
        "authorized_official_telephone_number": "417-582-7141",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Restore Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.