JOHNNY RESTREPO (DC) – Chiropractor, NPI 1477248581

JOHNNY RESTREPO (DC) is a healthcare provider. based in Fulton, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2023012415 (MO). The NPI Number for JOHNNY RESTREPO (DC) is 1477248581

Main info

Male
3 Years Of Experience
Name
JOHNNY RESTREPO (DC)
NPI
1477248581
Phone
(573) 642-2273
Address
621 Commons Dr
Enumeration Date
6 April 2023
Last Update Date
6 April 2023

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
5733109391
Graduation Year
2023 (3 years ago)
PAC ID
6800261363
Group Practice PAC ID
6406198209
Professional Enrollment ID
I20230414000653
Address ID
MO651096153JE3702XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for JOHNNY RESTREPO (DC)

  • 621 Commons Dr

    Fulton, MO 652511489

    Phone: (573) 642-2273

    Type: Location

  • 3702 W TRUMAN BLVD STE 218

    JEFFERSON CITY, MO 651096153

    Phone: (573) 606-6970

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230414000653IChiropracticMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406198209View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

What identifier follows JOHNNY RESTREPO (DC) across health systems?
The NPI 1477248581 uniquely identifies JOHNNY RESTREPO (DC) in U.S. healthcare data.
Should I treat JOHNNY RESTREPO (DC) as an active provider?
Patients and plans typically see JOHNNY RESTREPO (DC) as active in the national extract.
How should patients interpret JOHNNY RESTREPO (DC)'s specialty?
The extract shows Chiropractor for JOHNNY RESTREPO (DC). Clinical services aligned with this taxonomy classification.
Can patients visit JOHNNY RESTREPO (DC) in Fulton, Missouri?
For routing, start with Fulton, Missouri for JOHNNY RESTREPO (DC), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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