NPIMap

Organization Active NPI

Restoration Medical Group LLC

  • General Practice Physician
  • Spokane, WA
National Provider Identifier
1689548042
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RESTORATION MEDICAL GROUP LLC
Practice address
104 S Freya St Ste 209
Spokane, WA 99202-4866
Phone
(208) 704-2645
Fax
(877) 376-4040
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Jana HullNPI 1255572764
Title
Owner/Ceo
Phone
(208) 704-2645

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

104 S Freya St Ste 209
Spokane, WA 99202-4866

Mailing address

320 E Neider Ave Ste 103
Coeur D Alene, ID 83815-6007
Phone (208) 704-2645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1689548042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NEIDER AVE STE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156007",
            "telephone_number": "208-704-2645",
            "fax_number": "877-376-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 209",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024866",
            "telephone_number": "208-704-2645",
            "fax_number": "877-376-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "208-704-2645"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.