Renu Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000367 Issued in DE

Legal business name

RENU CHIROPRACTIC, LLC

Practice address

907 S College Ave
Newark, DE 19713-2303

Phone

(302) 368-0124

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Doris Chan Leach

Title

Business Manager

Phone

(302) 368-0124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

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

• Matthew Defroda, D.C

  • Chiropractor
  • Smyrna, DE
  • NPI 1083069462
  Medicare reassignment NPD
• Colton Ross Gervais

  • Chiropractor
  • Dover, DE
  • NPI 1710652185
  Medicare reassignment NPD

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1083950778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132303",
            "telephone_number": "302-368-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132303",
            "telephone_number": "302-368-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "302-368-0124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.