Organization Active NPI

Restore Osteopathic Medicine LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Aurora, CO
National Provider Identifier
1558244897
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
RESTORE OSTEOPATHIC MEDICINE LLC
Practice address
10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673
Phone
(303) 991-4651
NPI assigned
Jul 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Benjamin Trace Keaton, DONPI 1558935015
Title
Physician/Owner
Phone
(720) 957-8666

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
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673

Mailing address

10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673
Phone (720) 957-8666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113000617 CO Part B Supplier - Clinic/Group Practice 0244721603 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

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": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1558244897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 E DARTMOUTH AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142673",
            "telephone_number": "720-957-8666",
            "fax_number": "303-991-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 E DARTMOUTH AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142673",
            "telephone_number": "303-991-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE OSTEOPATHIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "TRACE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "720-957-8666",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.