NPIMap

Organization Active NPI

Restore Medical, Inc.

Doing business as Restore Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Red Bluff, CA
National Provider Identifier
1689072670
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESTORE MEDICAL, INC.
Doing business as
Restore Orthotics and Prosthetics
Practice address
24 Antelope Blvd
Red Bluff, CA 96080-2807
Phone
(530) 527-2305
Fax
(530) 527-2310
NPI assigned
Dec 8, 2014
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Mr. Jason J Dunphy, C.O.
Title
Owner
Phone
(530) 527-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

24 Antelope Blvd
Red Bluff, CA 96080-2807

Mailing address

24 Antelope Blvd
Red Bluff, CA 96080-2807
Phone (530) 527-2305

Other names 1

  • Restore Orthotics and Prosthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827003232 CA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 1759697485 Practice locations: Red Bluff, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Restore Medical Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24 Antelope Blvd
Red Bluff, CA 96080
Phone (530) 527-2305

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1689072670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ANTELOPE BLVD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802807",
            "telephone_number": "530-527-2305",
            "fax_number": "530-527-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ANTELOPE BLVD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802807",
            "telephone_number": "530-527-2305",
            "fax_number": "530-527-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "DUNPHY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-527-2305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.