Organization Active NPI

Restoration Chiropractic: Spinal Correction & Family Health Center

  • Chiropractor
  • Belton, MO
National Provider Identifier
1598076077
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010001488 Issued in MO
Legal business name
RESTORATION CHIROPRACTIC: SPINAL CORRECTION & FAMILY HEALTH CENTER
Practice address
503 Main St
Belton, MO 64012-2513
Phone
(816) 425-5578
Fax
(816) 425-5579
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Nicholas B Weddle, D.C.NPI 1003148008
Title
Doctor of Chiropractic
Phone
(816) 425-5578

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 2010001488 MO Primary

Addresses

Primary practice location

503 Main St
Belton, MO 64012-2513

Mailing address

503 Main St
Belton, MO 64012-2513
Phone (816) 425-5578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000808 MO Part B Supplier - Clinic/Group Practice 1759573652 Receives reassigned benefits from 1 practitioner
Practice locations: Belton, MO

National Provider Directory

National Provider Directory

Locations

314 Main St
Belton, MO 64012
Phone (816) 425-5578

503 Main St
Belton, MO 64012
Phone (816) 425-5578

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1598076077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MAIN ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122513",
            "telephone_number": "816-425-5578",
            "fax_number": "816-425-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MAIN ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122513",
            "telephone_number": "816-425-5578",
            "fax_number": "816-425-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC: SPINAL CORRECTION & FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "816-425-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010001488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.