Organization Active NPI

DQJS Enterprises LLC

Doing business as Renaissance Health

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1134332091
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7713 Issued in FL
Legal business name
DQJS ENTERPRISES LLC
Doing business as
Renaissance Health
Practice address
4212 Northlake Blvd
Palm Beach Gardens, FL 33410-6252
Phone
(561) 627-2821
Fax
(561) 627-0542
NPI assigned
May 8, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Mark Jeffrey Slepin, M.D.NPI 1417063439
Title
Owner
Phone
(561) 627-2821

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7901 FL
Chiropractor 111N00000X CH7713 FL Primary
Emergency Medicine Physician 207P00000X ME0068339 FL

Addresses

Primary practice location

4212 Northlake Blvd
Palm Beach Gardens, FL 33410-6252

Mailing address

4212 Northlake Blvd
Palm Beach Gardens, FL 33410-6252
Phone (561) 627-2821

Other names 1

  • Renaissance Health Doing business as

National Provider Directory

National Provider Directory

Locations

4212 Northlake Blvd
Palm Beach Gardens, FL 33410
Phone (561) 627-2821

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1134332091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DQJS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "SLEPIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-627-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7901",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7713",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0068339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.