Organization Active NPI

Restoration Chiropractic LLC

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1639820178
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORATION CHIROPRACTIC LLC
Practice address
9455 N Owasso Expy Ste J
Owasso, OK 74055-5457
Phone
(918) 212-0084
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Dr. Bryce Colt, DCNPI 1477218170
Title
Owner
Phone
(918) 212-0084

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 Primary

Addresses

Primary practice location

9455 N Owasso Expy Ste J
Owasso, OK 74055-5457

Mailing address

9455 N Owasso Expy Ste J
Owasso, OK 74055-5457
Phone (918) 212-0084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203000697 OK Part B Supplier - Clinic/Group Practice 9638562259 Receives reassigned benefits from 1 practitioner
Practice locations: Owasso, OK

National Provider Directory

National Provider Directory

Locations

9455 N Owasso Expy
Ste J
Owasso, OK 74055
Phone (918) 212-0084

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": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1639820178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 N OWASSO EXPY STE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555457",
            "telephone_number": "918-212-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 N OWASSO EXPY STE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555457",
            "telephone_number": "918-212-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "COLT",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-212-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.