Organization Active NPI

Restoration Dallas Chiropractic PLLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1679961155
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12587 Issued in TX
Legal business name
RESTORATION DALLAS CHIROPRACTIC PLLC
Practice address
1152 N Buckner Blvd Ste H100B
Dallas, TX 75218-3483
Phone
(678) 435-6466
NPI assigned
Jan 6, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Julia Meier MillerNPI 1609264266
Title
Chiropractor/Owner
Phone
(678) 435-6466

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
Chiropractor 111N00000X 12587 TX Primary

Addresses

Primary practice location

1152 N Buckner Blvd Ste H100B
Dallas, TX 75218-3483

Mailing address

1152 N Buckner Blvd Ste H100B
Dallas, TX 75218-3483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151215000142 TX Part B Supplier - Clinic/Group Practice 2466753553 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1152 N Buckner Blvd
Ste 100B
Dallas, TX 75218

1152 N Buckner Blvd
Ste H100B
Dallas, TX 75218
Phone (678) 435-6466

Practitioners & affiliated clinicians

Practitioners 2

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1679961155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 N BUCKNER BLVD STE H100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N BUCKNER BLVD STE H100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183483",
            "telephone_number": "678-435-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DALLAS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MEIER",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "678-435-6466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.