NPIMap

Organization Active NPI

Restore Muscle and Joint, LLC

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1497995393
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORE MUSCLE AND JOINT, LLC
Practice address
5601 NE Antioch Rd Ste 4
Gladstone, MO 64119-2328
Phone
(816) 452-4488
Fax
(816) 452-4491
NPI assigned
Mar 5, 2009
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Dr. Kendra Lynn Pearson, DCNPI 1578503702
Title
Owner
Phone
(816) 452-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

5601 NE Antioch Rd Ste 4
Gladstone, MO 64119-2328

Mailing address

5601 NE Antioch Rd
Suite 8
Gladstone, MO 64119-2302
Phone (816) 452-4488

Other names 1

  • Pearson Chiropractic and Acupuncture, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5601 N Antioch Rd
Ste 8
Gladstone, MO 64119
Phone (816) 452-4488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1497995393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "SUITE 8",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192302",
            "telephone_number": "816-452-4488",
            "fax_number": "816-452-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD STE 4",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192328",
            "telephone_number": "816-452-4488",
            "fax_number": "816-452-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MUSCLE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-452-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearson Chiropractic and Acupuncture, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.