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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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

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

The NPI number assigned to this healthcare provider is 1477248581, enumerated as an "individual" on April 06, 2023.

The provider is located at 3702 W TRUMAN BLVD STE 218 JEFFERSON CITY, MO 65109 and the phone number is (573) 606-6970.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica and. Please consult your insurance carrier or call the provider to verify.