Healthcare Provider Details

I. General information

NPI: 1346105665
Provider Name (Legal Business Name): RESTORE MOTION AND MINIMALLY INVASIVE SPINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 PATHVIEW CT
RALEIGH NC
27613-6260
US

IV. Provider business mailing address

2604 PATHVIEW CT
RALEIGH NC
27613-6260
US

V. Phone/Fax

Practice location:
  • Phone: 310-310-5468
  • Fax:
Mailing address:
  • Phone: 310-310-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADEDAYO ASHANA
Title or Position: SPINE SURGEON/OWNER
Credential: MD
Phone: 310-310-5468