Restore Chiropractic & Acupuncture, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESTORE CHIROPRACTIC & ACUPUNCTURE, INC

Practice address

215 West St
Grinnell, IA 50112-2313

Phone

(641) 990-2303

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Darius Kemar Bradford, DCNPI 1093396616

Title

Chiropractor/Owner

Phone

(641) 990-2303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Darius Kemar Bradford, DC

  • Chiropractor
  • Grinnell, IA
  • NPI 1093396616
  Medicare reassignment NPD Authorized official
• Jody Marie Brink, D.C.

  • Chiropractor
  • Grinnell, IA
  • NPI 1588731293
  NPD (past)
• Nathan Luther Lester, D.C.

  • Chiropractor
  • Grinnell, IA
  • NPI 1386868727
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1992400451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 14TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121011",
            "telephone_number": "641-990-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122313",
            "telephone_number": "641-990-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC & ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "KEMAR",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "641-990-2303",
        "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": [],
    "other_names": []
}

• Poweshiek County Case Management
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• Rebelsky Family Practice LLC
• Regal Manors of Grinnell Inc
• Molly Richmond
• Linda L Romero, LISW
• Michael John Rosenfeld, M.D.
• Christopher Thomas Roudabush, D.D.S.
• Lyle Thomas Roudabush, D.D.S.

• All providers in Grinnell, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.