Renton Spine Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENTON SPINE CLINIC

Practice address

352 Sunset Blvd N
Renton, WA 98057-5514

Phone

(425) 226-6622

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Alnoor Bhanji, DC

Title

Owner

Phone

(253) 431-5343

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicente Dejon Robinson, LMP

  • Massage Therapist
  • Renton, WA
  • NPI 1154806875
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1073095386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32114 1ST AVE S STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035760",
            "telephone_number": "425-226-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 SUNSET BLVD N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575514",
            "telephone_number": "425-226-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON SPINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "BHANJI",
        "authorized_official_first_name": "ALNOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-431-5343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renton Smile Dentistry
• Renton Smiles, LLC
• Renton SNF Healthcare LLC
• Renton Spa
• Renton Spine and Sports Medicine LLC
• Renton Sports & Spine PT
• Renton Sports & Spine PT
• Renton Vision Clinic PLLC
• Zachary Renzetti, SUDP/T
• Restore Health & Body Wisdom, PLLC

• Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.