NPIMap

Organization Active NPI

Restoration Health PLLC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1710347083
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16120 Issued in AR
Legal business name
RESTORATION HEALTH PLLC
Practice address
15400 Chenal Pkwy
Suite 120
Little Rock, AR 72211-2016
Phone
(501) 400-7700
Fax
(501) 244-3784
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Michael Butler, DCNPI 1457711723
Title
Owner
Phone
(501) 400-7700

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 16120 AR Primary

Addresses

Primary practice location

15400 Chenal Pkwy
Suite 120
Little Rock, AR 72211-2016

Mailing address

15400 Chenal Pkwy
Suite 120
Little Rock, AR 72211-2016
Phone (501) 400-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160311001330 AR Part B Supplier - Clinic/Group Practice 9739485087 Receives reassigned benefits from 7 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

15400 Chenal Pkwy
Ste 120
Little Rock, AR 72211
Phone (501) 400-7700

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1710347083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 CHENAL PKWY",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112016",
            "telephone_number": "501-400-7700",
            "fax_number": "501-244-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 CHENAL PKWY",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112016",
            "telephone_number": "501-400-7700",
            "fax_number": "501-244-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-400-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.