Jr Renaissance Health Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JR RENAISSANCE HEALTH SERVICES

Practice address

1957 Hway 95 Ste 23
Bullhead City, AZ 86442-6744

Phone

(928) 234-3834

Fax

(602) 792-7270

NPI assigned

Feb 19, 2022

Last updated

Feb 19, 2022By 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

Carmen J. Soto, RN

Title

Office Manager

Phone

(928) 234-3834

Specialties & licenses 1

Addresses

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.

• Rene Gonzalez Garcia, MD

  • General Practice Physician
  • Bullhead City, AZ
  • NPI 1639269913
  NPD

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1245985027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90182",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890090182",
            "telephone_number": "928-234-3834",
            "fax_number": "602-792-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 HWAY 95 STE 23",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426744",
            "telephone_number": "928-234-3834",
            "fax_number": "602-792-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR RENAISSANCE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-234-3834",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Brendon Jones, O.D.
• Kaylyn Jones, CNA
• Laree Ann Jones, MASTER SOCIAL WORKER
• Danielle Jordan
• Joshua Springs Operations LLC
• Jr Renaissance Health Services, PLLC
• Just for Kids Dental Group Bullhead, PLLC (Just For Kids Dentistry)
• Just for Kids Dentistry Bullhead, PLLC
• Ammar Kafa, M.D.
• Michael David Kantor, DDS

• Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.