JOHNNY RESTREPO DC
NPI 1477248581
Chiropractor in Jefferson City, MO

Active since April 06, 2023
3702 W TRUMAN BLVD STE 218, JEFFERSON CITY, MO 65109(573) 606-6970 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Johnny Restrepo Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY RESTREPO DC (NPI 1477248581) is an individual chiropractor in Jefferson City, Missouri, licensed in Missouri (2023012415) and active in the NPI registry since April 2023. He maintains a secondary practice location in Fulton and is a graduate of Life Chiropractic College (2023).

NPPES Registry Identity

NPI1477248581
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOHNNY RESTREPOCredential: DC
Location Address3702 W TRUMAN BLVD STE 218Jefferson City, MO 65109-6153
Mailing Address3702 W Truman Blvd Ste 218Jefferson City, MO 65109-6153 · (573) 606-6970
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2023
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1477248581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2023012415
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3702 W TRUMAN BLVD STE 218, Jefferson City, MO 65109

Secondary Practice Location 1

Location 1621 Commons DrFulton, MO 65251-1489 · Phone (573) 642-2273

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Restrepo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800261363
PECOS Enrollment IDI20230414000653

Medicare Billing Reassignments

2

Medicare enrollment records show Johnny Restrepo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
3702 W TRUMAN BLVD STE 218
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
Chiropractor
621 COMMONS DRIVE
Fulton, MO 65251
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3702 W TRUMAN BLVD STE 218
JEFFERSON CITY, MO 65109
Chiropractor
3702 W TRUMAN BLVD STE 218
JEFFERSON CITY, MO 65109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Restrepo's NPI number?

The NPI number for Johnny Restrepo is 1477248581. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Johnny Restrepo located?

Johnny Restrepo practices at 3702 W Truman Blvd Ste 218, Jefferson City, MO 65109. The listed phone number is (573) 606-6970.

What is Johnny Restrepo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Johnny Restrepo enrolled in Medicare?

Yes. Johnny Restrepo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johnny Restrepo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Restrepo reassigns Medicare benefits to 2 organizations: Koelling Family Chiropractic Jeffcity (Jefferson City, MO) and Koelling Family Chiropractic, PC (Fulton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Restrepo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnny Restrepo accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Johnny Restrepo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnny Restrepo was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.