NPIMap

Organization Active NPI

Renaissance Health Services, LLC

  • Rehabilitation Chiropractor
  • Phoenix, AZ
National Provider Identifier
1235438995
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7705 Issued in AZ
Legal business name
RENAISSANCE HEALTH SERVICES, LLC
Doing business as
City Health Services
Practice address
40 N Central Ave
Suite 770
Phoenix, AZ 85004-4424
Phone
(602) 889-5830
Fax
(602) 889-5831
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mr. Bradley Forbes, DC
Title
Owner
Phone
(480) 221-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 7705 AZ Primary

Addresses

Primary practice location

40 N Central Ave
Suite 770
Phoenix, AZ 85004-4424

Mailing address

40 N Central Ave
Suite 770
Phoenix, AZ 85004-4424
Phone (602) 889-5830

Other names 1

  • City Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1303 S Longmore
Ste 10
Mesa, AZ 85202
Phone (480) 649-5297

40 N Central Ave
Ste 775
Phoenix, AZ 85004
Phone (602) 889-5830

Practitioners & affiliated clinicians

Practitioners 2

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1235438995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N CENTRAL AVE",
            "address_2": "SUITE 770",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044424",
            "telephone_number": "602-889-5830",
            "fax_number": "602-889-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N CENTRAL AVE",
            "address_2": "SUITE 770",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044424",
            "telephone_number": "602-889-5830",
            "fax_number": "602-889-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-221-7054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.