Organization Active NPI

Restore Life Chiropractic

  • Chiropractor
  • Haslet, TX
National Provider Identifier
1750976601
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORE LIFE CHIROPRACTIC
Practice address
1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776
Phone
(817) 251-1637
Fax
(817) 391-1530
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Dr. Joe Daniel Kennedy, DCNPI 1073000147
Title
Doctor/Owner
Phone
(817) 251-1637

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 Primary

Addresses

Primary practice location

1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776

Mailing address

1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776
Phone (817) 251-1637

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rlchaslet.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1750976601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SCHOOLHOUSE RD STE 500",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523776",
            "telephone_number": "817-251-1637",
            "fax_number": "817-391-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SCHOOLHOUSE RD STE 500",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523776",
            "telephone_number": "817-251-1637",
            "fax_number": "817-391-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-251-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rlchaslet.com",
            "affiliation": "N",
            "endpointDescription": "webiste",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "appt creation",
            "address_1": "1090 Schoolhouse Rd Ste 500",
            "city": "Haslet",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760523776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haslet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.