Organization Active NPI

Dr. Brian Renner

  • Chiropractor
  • Fontana, CA
National Provider Identifier
1245398759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30206 Issued in CA
Legal business name
DR. BRIAN RENNER
Practice address
11683 Cherry Ave
Ste 9
Fontana, CA 92337-2700
Phone
(909) 428-0700
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Renner, D.C.NPI 1295827467
Title
Owner
Phone
(909) 428-0700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30206 CA Primary

Addresses

Primary practice location

11683 Cherry Ave
Ste 9
Fontana, CA 92337-2700

Mailing address

11683 Cherry Ave
Ste 9
Fontana, CA 92337-2700
Phone (909) 428-0700

National Provider Directory

National Provider Directory

Locations

11683 Cherry Ave
Ste 9
Fontana, CA 92337
Phone (909) 428-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245398759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11683 CHERRY AVE",
            "address_2": "STE 9",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923372700",
            "telephone_number": "909-428-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11683 CHERRY AVE",
            "address_2": "STE 9",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923372700",
            "telephone_number": "909-428-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRIAN RENNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-428-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.