Spine Re-New P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6253 Issued in CO

Legal business name

SPINE RE-NEW P.C.

Practice address

9579 S University Blvd
Suite 170
Highlands Ranch, CO 80126-8106

Phone

(303) 738-5592

Fax

(303) 791-8556

NPI assigned

Jul 21, 2009

Last updated

Jul 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian R Berlener, D.C.

Title

President

Phone

(303) 738-5592

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Willmonte Krainik, D.C.

  • Chiropractor
  • Gilbert, AZ
  • NPI 1427347657
  NPD (past)
• Wendy Michelle Shimer, D.C.

  • Chiropractor
  • Clinton, TN
  • NPI 1689871618
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1073743308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9579 S UNIVERSITY BLVD",
            "address_2": "SUITE 170",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268106",
            "telephone_number": "303-738-5592",
            "fax_number": "303-791-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9579 S UNIVERSITY BLVD",
            "address_2": "SUITE 170",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268106",
            "telephone_number": "303-738-5592",
            "fax_number": "303-791-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE RE-NEW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "BERLENER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-738-5592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Ann Fearn Spicer, PHARMD
• Savannah Lynn Sprague, OTR/L
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• Matthew Sremba, P.T.
• Merari A Stacy, LCSW
• Emily J Stafford

• Chiropractor in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.