Individual provider Active NPI

Christopher Reneau, D.C.

  • Chiropractor
  • Roseburg, OR
National Provider Identifier
1316369697
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5535 Issued in OR
Practice address
535 NE Stephens St
Roseburg, OR 97470-3150
Phone
(541) 672-4807
Fax
(541) 672-7342
NPI assigned
Jan 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5535 OR Primary

Addresses

Primary practice location

535 NE Stephens St
Roseburg, OR 97470-3150

Mailing address

535 NE Stephens St
Roseburg, OR 97470-3150
Phone (541) 672-4807

Other practice location 1

305 W 7th Ave
Eugene, OR 97401-2510
Phone (541) 343-3477

Other practice location 2

2569 NW Edenbower Blvd
Roseburg, OR 97471-6220
Phone (541) 672-4807

Other identifiers 1

IdentifierTypeStateIssuer
500787326MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228000915 OR Practitioner - Chiropractic 6800152752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Umpqua Chiropractic PCGroup PAC ID 1658799358, 2 clinicians

Practice addresses (Care Compare)

535 NE Stephens St
Roseburg, OR 97470-3150
Phone (541) 672-4807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5535ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiropractic PC Chiropractor CurrentSince Sep 25, 2017 Accepting new patients
Umpqua Chiropractic PC Chiropractor CurrentSince Mar 8, 2021 Accepting new patients
Aspen Chiropractic Associates PC Chiropractor PastSince Jun 15, 2018 Accepting new patients
Joshua B. Anderson, D.C.P.C. Chiropractor PastSince Nov 20, 2015 Accepting new patients
Joshua B. Anderson, D.C.P.C. Chiropractor PastSince Sep 25, 2019 Accepting new patients
Umpqua Chiropractic PC PastSince Oct 12, 2025 Accepting new patients

Locations

2569 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 672-4807

535 NE Stephens St
Roseburg, OR 97470
Phone (541) 672-4807

3000 Market St NE
Ste 541
Salem, OR 97301
Phone (503) 584-1620

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1316369697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703150",
            "telephone_number": "541-672-4807",
            "fax_number": "541-672-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703150",
            "telephone_number": "541-672-4807",
            "fax_number": "541-672-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012510",
            "country_code": "US",
            "telephone_number": "541-343-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2569 NW Edenbower Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974716220",
            "country_code": "US",
            "telephone_number": "541-672-4807",
            "fax_number": "541-672-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500787326",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.