Restad Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29715 Issued in CA

Legal business name

RESTAD CHIROPRACTIC PLLC

Practice address

1012 W Main St
Middleton, ID 83644-5270

Phone

(707) 774-5232

NPI assigned

May 29, 2007

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Lee Restad, DCNPI 1265633192

Title

Owner/Chiropractor

Phone

(707) 774-5232

Specialties & licenses 1

Addresses

Other names 1

• Restad Chiropractic, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

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.

• Julie Lee Restad, D.C.

  • Chiropractor
  • Middleton, ID
  • NPI 1265633192
  Medicare reassignment Authorized official
• Melinda C Hendrick, DC

  • Chiropractor
  • Centennial, CO
  • NPI 1922301217
  NPD
• Jeremy Wroten, DC

  • Chiropractor
  • Petaluma, CA
  • NPI 1790343598
  NPD

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1801097746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LOCH NESS AVE",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836447109",
            "telephone_number": "707-774-5232",
            "fax_number": "707-773-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445270",
            "telephone_number": "707-774-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTAD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "RESTAD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "707-774-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restad Chiropractic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison Powell, OTR/L
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• Angela W Priest
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• Relatyv Mobile Medical LLC
• Julie Lee Restad, D.C.
• Corina A Reyna, PHARM.D., CGP
• Kenneth J Rhee, MD
• Ridleys Family Markets Inc (Ridleys Pharmacy #8442)
• Jessica Lyn Knecht Rose

• Chiropractor in Middleton, ID
• Providers in Middleton, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.