Roseburg Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273086 Issued in OR

Legal business name

ROSEBURG CHIROPRACTIC PC

Practice address

1632 NW Hughwood CT
Ste 1
Roseburg, OR 97471-8881

Phone

(541) 677-9199

Fax

(541) 672-4326

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald E Reneau, D.C.NPI 1447384433

Title

President

Phone

(541) 677-9199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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.

• Donald Eugene Reneau, DC

  • Sports Physician Chiropractor
  • Roseburg, OR
  • NPI 1447384433
  Medicare reassignment NPD Authorized official
• Gregory Wayne Reneau, DC

  • Sports Physician Chiropractor
  • Roseburg, OR
  • NPI 1649396631
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1104099860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 NW HUGHWOOD CT",
            "address_2": "STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718881",
            "telephone_number": "541-677-9199",
            "fax_number": "541-672-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 NW HUGHWOOD CT",
            "address_2": "STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718881",
            "telephone_number": "541-677-9199",
            "fax_number": "541-672-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "RENEAU",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-677-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Jo Rondeau
• Rose Haven
• Rebecca Luh Rose, BS
• Roseburg Acupuncture LLC
• Roseburg Anesthesiology Specialists
• Roseburg Clinic PC
• Roseburg Clinic, P.C.
• Roseburg Clinic, P.C.
• Roseburg Counseling & Wellness
• Roseburg Douglas Associates

• Chiropractor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.