Restoration Chiropractic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RESTORATION CHIROPRACTIC LLC

Practice address

5010 Davis Lant Dr Ste 4
Evansville, IN 47715-8947

Phone

(812) 604-5521

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Krack, DCNPI 1194382978

Title

Owner

Phone

(812) 604-5521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Ryan Krack, DC

  • Chiropractor
  • Evansville, IN
  • NPI 1194382978
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1720645401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 DAVIS LANT DR STE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158947",
            "telephone_number": "812-604-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 DAVIS LANT DR STE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158947",
            "telephone_number": "812-604-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KRACK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-604-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers Mid Atlantic Inc
• James W Renne, MD
• Todd D Renschler, MD
• Cheryl Sue Rentchler, MPT
• Laura Replogle
• Stephanie Retter
• Jennifer Rheann Revlett
• Rachel Rexing-Thacker, O.D.
• Abigail Rexing, PT, DPT
• Hubert S Reyes, MD

• Health Service Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.