Johnny Restrepo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2023012415 Issued in MO

Practice address

3702 W Truman Blvd Ste 218
Jefferson City, MO 65109-6153

Phone

(573) 606-6970

NPI assigned

Apr 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Koelling Family Chiropractic JeffcityGroup PAC ID 6406198209, 4 clinicians

Koelling Family Chiropractic PCGroup PAC ID 4183795719, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Koelling Family Chiropractic Jeffcity

  • Chiropractor
  • Jefferson City, MO
  • NPI 1962966234
  Medicare reassignment Care Compare group NPD
• Koelling Family Chiropractic, PC

  • Chiropractor
  • Fulton, MO
  • NPI 1194985267
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1477248581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 W TRUMAN BLVD STE 218",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096153",
            "telephone_number": "573-606-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 W TRUMAN BLVD STE 218",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096153",
            "telephone_number": "573-606-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652511489",
            "country_code": "US",
            "telephone_number": "573-642-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "JOHNNY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023012415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Reinkemeyer
• Mark Rembecki, LPC
• Sarah A Rembecki, CPNP
• Jaime Renee Renfro, FNP
• Reorganized School District 2 of Cole County
• Kendall Reynolds
• Abby Rhodes, OTA
• Carol Rice, C.HT
• Karen Rice, M.D.
• Dianna Richardson, ND, MS, BS

• Chiropractor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.