Organization Active NPI

Renaissance Spinal Care and Rehab LLC

  • Rehabilitation Chiropractor
  • Oakland Park, FL
National Provider Identifier
1144909144
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
RENAISSANCE SPINAL CARE AND REHAB LLC
Practice address
2121 W Oakland Park Blvd Ste 1
Oakland Park, FL 33311-1507
Phone
(954) 368-3402
Fax
(954) 990-6199
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Jean Claude Michel, DC
Title
Owner/Chiropractor
Phone
(954) 368-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

2121 W Oakland Park Blvd Ste 1
Oakland Park, FL 33311-1507

Mailing address

2121 W Oakland Park Blvd Ste 1
Oakland Park, FL 33311-1507
Phone (954) 368-3402

National Provider Directory

National Provider Directory

Locations

2121 W Oakland Park Blvd
Ste 1
Oakland Park, FL 33311
Phone (954) 368-3402

Practitioners & affiliated clinicians

Practitioners 1

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1144909144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W OAKLAND PARK BLVD STE 1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111507",
            "telephone_number": "954-368-3402",
            "fax_number": "954-990-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W OAKLAND PARK BLVD STE 1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111507",
            "telephone_number": "954-368-3402",
            "fax_number": "954-990-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SPINAL CARE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "954-368-3402",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.