John Clifford Renyo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0001022 Issued in DE

Practice address

509 Lakeview Ave
Milford, DE 19963-2917

Phone

(302) 422-3100

Fax

(302) 422-2900

NPI assigned

Aug 25, 2006

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Chiropractic Associates, P.a.Group PAC ID 6709987092, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Chiropractic Associates, P.a.

  • Chiropractor
  • Milford, DE
  • NPI 1194851055
  Medicare reassignment Care Compare group NPD
• Dillsburg Chiropractic Center Inc.

  • Chiropractor
  • Dillsburg, PA
  • NPI 1649434176
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1043328651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23684 BAYVIEW DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583228",
            "telephone_number": "717-805-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-3100",
            "fax_number": "302-422-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Tristan Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dillsburg",
            "state": "PA",
            "postal_code": "170191632",
            "country_code": "US",
            "telephone_number": "717-502-0909",
            "fax_number": "717-502-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENYO",
        "first_name": "JOHN",
        "middle_name": "CLIFFORD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0001022",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003410-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011046360003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rabail Qureshi, M.D
• Keren Rams-Harmon
• Ambreen Raza, MD
• Amanda Reed, P.T.A.
• Reliable Health & Rehab, LLC
• Marie Renzi, FNP-BC
• Jonathan Revels, MS, LCDP, LPCMH
• Matthew Reynolds
• Carol Garnet Rhue, LCSW
• Rhythaan LLC

• Chiropractor in Milford, DE
• Providers in Milford, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.