Restore Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5968 Issued in MN

Legal business name

RESTORE CHIROPRACTIC AND WELLNESS LLC

Practice address

215 3Rd St
Gaylord, MN 55334

Phone

(507) 237-2777

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Emma J Fowler, DCNPI 1346649126

Title

Owner

Phone

(952) 994-8595

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emma Jo Fowler, D.C.

  • Chiropractor
  • Gaylord, MN
  • NPI 1346649126
  Medicare reassignment NPD Authorized official
• Cassandra Dee McGuire, D.C.

  • Chiropractor
  • Bloomington, MN
  • NPI 1396030615
  NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1659873420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553340226",
            "telephone_number": "952-994-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 3RD ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "55334",
            "telephone_number": "507-237-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-994-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346649126",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Rose Prachar, RN
• Kelli Quast
• Rachel Swenson Counseling LLC
• Jill Reinhardt, RPH
• Ronald Allen Reinmuth, DDS
• Marisabel Sakamoto
• Sarah Ann Schwartz, MA OTR/L
• Anila Sharma, DR.
• Sibley Medical Center (Ridgeview Gaylord Clinic)
• Abigail Anne Heitz Simek, DNP. FNP-C

• Chiropractor in Gaylord, MN
• Providers in Gaylord, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.