Active NPI
Robert M Renkin, DC
- Chiropractor
- Pinole, CA
National Provider Identifier
1295400968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36151
- Practice address
- 2574 Appian Way
Pinole, CA 94564-2237 - Phone
- (510) 243-2425
- Fax
- (510) 243-2428
- NPI assigned
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36151 | CA | Primary |
Addresses
Primary practice location
2574 Appian Way
Pinole, CA 94564-2237
Mailing address
2574 Appian Way
Pinole, CA 94564-2237
Phone (510) 243-2425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36151 | CA | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Pinole, CA
- NPI 1609153022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1295400968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2574 APPIAN WAY",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642237",
"telephone_number": "510-243-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2574 APPIAN WAY",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642237",
"telephone_number": "510-243-2425",
"fax_number": "510-243-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENKIN",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.