Umpqua Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

UMPQUA CHIROPRACTIC PC

Practice address

535 NE Stephens St
Roseburg, OR 97470-3150

Phone

(541) 672-4807

Fax

(541) 672-7342

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Reneau, DCNPI 1316369697

Title

Owner

Phone

(541) 672-4807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Umpqua Chiropractic PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Umpqua Chiropractic PC

  • Chiropractor
  • Cottage Grove, OR
  • NPI 1194647446
  NPD tax ID
• Umpqua Chiropractic PC

  • Rehabilitation Chiropractor
  • Eugene, OR
  • NPI 1528933975
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Umpqua Chiropractic PC

  • Chiropractor
  • Cottage Grove, OR
  • NPI 1194647446
  NPPES parent name
• Umpqua Chiropractic PC

  • Rehabilitation Chiropractor
  • Eugene, OR
  • NPI 1528933975
  NPPES parent name

Practitioners 4

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

• Christopher Reneau, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1316369697
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan James Reneau, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1730502840
  Medicare reassignment Care Compare group NPD
• Mark J Den Hartog, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1023081155
  Medicare reassignment NPD
• Timothy Wade Cannon, D.C.

  • Chiropractor
  • Ammon, ID
  • NPI 1952722290

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1124644216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703150",
            "telephone_number": "541-672-4807",
            "fax_number": "541-672-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703150",
            "telephone_number": "541-672-4807",
            "fax_number": "541-672-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "RENEAU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-4807",
        "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": []
}

• Sherri Twedt, APRN
• Two Rivers Integrative Medicine, LLC
• Two Thirty Dental, LLC
• Uhi Contract LLC
• Walter Ular
• Umpqua Community Development Corporation
• Umpqua Community Health Center, Inc.
• Umpqua Community Health Center, Inc.
• Umpqua Community Health Center, Inc.
• Umpqua Community Health Center, Inc.

• 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 Mar 5, 2021; 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.