Restoreu LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RESTOREU LLC

Practice address

305 W 39TH St
South Sioux City, NE 68776-3737

Phone

(402) 494-4924

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Baller, DDSNPI 1356578256

Title

Owner/Dentist

Phone

(402) 416-6032

Specialties & licenses 1

Addresses

Other names 1

• JAMES E. BUTTERMORE, DDS, PC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Timothy Baller, D.D.S.

  • General Practice Dentistry
  • Sioux City, IA
  • NPI 1356578256
  NPD Authorized official
• James Ervin Buttermore Sr., DDS

  • General Practice Dentistry
  • South Sioux City, NE
  • NPI 1073603726
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1467155333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763737",
            "telephone_number": "402-494-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763737",
            "telephone_number": "402-494-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTOREU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BALLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-416-6032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES E. BUTTERMORE, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dale Von Rawson
• Redlers Prof Phcy Inc
• Mackenzie Ann Reiling
• Alexis Michelle Reinert, CCC-SLP
• Cynthia Renkel
• Sierra Sage Reuter, MA
• Luz Reyes
• Pat Ann Riedemann, IADC, LBSW
• Greg Ringling, MA,CCC-SP
• Melanie Rios

• General Practice Dentistry in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.