Renew Health Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7405870-1202 Issued in UT

Legal business name

RENEW HEALTH SERVICES LLC

Doing business as

Renew Corporate Wellness

Practice address

892 S Main St
Smithfield, UT 84335-2302

Phone

(435) 535-0780

Fax

(435) 535-0769

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan D Johnson, D.C.

Title

Member

Phone

(435) 881-7000

Specialties & licenses 1

Addresses

Other names 1

• Renew Corporate Wellness Doing business as

Locations

Practitioners 2

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.

• Ira Jeremy Crawford, DC

  • Chiropractor
  • Smithfield, UT
  • NPI 1225119837
  NPD (past)
• Jeremy David Gibbons, D.C.

  • Chiropractor
  • Smithfield, UT
  • NPI 1306927991
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1194059774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843352302",
            "telephone_number": "435-535-0780",
            "fax_number": "435-535-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843352302",
            "telephone_number": "435-535-0780",
            "fax_number": "435-535-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "435-881-7000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7405870-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Corporate Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Jean Neilsen
• Katie Noall
• Heather Titensor Overly, MT-BC
• Jenni Radford, SLP
• Bryan David Ramboz, PH.D.
• Kristen Rose
• Rounds Dental, PLLC (Birch Creek Dental)
• Jason B Roylance, PHARM D
• Safe Haven Home Care LLC (Senior Helpers of Northern Utah)
• Scholes Fitness & Physical Therapy

• Chiropractor in Smithfield, UT
• Providers in Smithfield, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.