NPIMap

Organization Active NPI

Renfroe Spinal Center LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1083826523
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RENFROE SPINAL CENTER LLC
Practice address
1421 East Nine Mile Rd
Pensacola, FL 32514
Phone
(850) 484-7735
Fax
(850) 484-7736
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. John M Renfroe, DCNPI 1164492815
Title
Direct Owner
Phone
(850) 474-8688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1421 East Nine Mile Rd
Pensacola, FL 32514

Mailing address

8201 University Parkway
Pensacola, FL 32514
Phone (850) 474-8688

National Provider Directory

National Provider Directory

Locations

2045 Fountain Professional Ct
Ste D
Navarre, FL 32566
Phone (850) 484-7735

8201 University Pkwy
Pensacola, FL 32514
Phone (850) 474-8100

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1083826523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 UNIVERSITY PARKWAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514",
            "telephone_number": "850-474-8688",
            "fax_number": "850-969-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 EAST NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514",
            "telephone_number": "850-484-7735",
            "fax_number": "850-484-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENFROE SPINAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "850-474-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.