Renaissance Chiropractic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5145 Issued in AZ

Legal business name

RENAISSANCE CHIROPRACTIC P C

Practice address

112 N Central Ave
A2
Phoenix, AZ 85004-2309

Phone

(602) 712-9444

Fax

(602) 258-7844

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Dawn Carlson, D.C.

Title

Owner/Operator

Phone

(602) 712-9444

Specialties & licenses 1

Addresses

Other names 1

• Renaissance Chiropractic & Bodywork Other name

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1003096363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CENTRAL AVE",
            "address_2": "A2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042309",
            "telephone_number": "602-712-9444",
            "fax_number": "602-258-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CENTRAL AVE",
            "address_2": "A2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042309",
            "telephone_number": "602-712-9444",
            "fax_number": "602-258-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "602-712-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Chiropractic & Bodywork",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annette Remitera, PT, DPT
• Silke Rempe, M.D.
• Aubree M Remsburg, CNM
• Jenalee Remy, LPC
• Yurong Ren
• Renaissance DX LLC
• Renaissance Health Services, LLC
• Renal Care Group Arizona, Inc.
• Renal Care Group Arizona, LLC
• Renal Dimensions, LLC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.