Renaissance Chiropractic and Associates, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENAISSANCE CHIROPRACTIC AND ASSOCIATES, INC

Practice address

1501 S Center Rd
BLDG a
Burton, MI 48509-1731

Phone

(810) 715-7746

Fax

(810) 715-7716

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Khaled El-Ganainy, DCNPI 1093824351

Title

Owner Chirpractor

Phone

(810) 715-7746

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaled S El-Ganainy, DC

  • Chiropractor
  • Burton, MI
  • NPI 1093824351
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1346332046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BLDG A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BLDG A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CHIROPRACTIC AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "EL-GANAINY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER CHIRPRACTOR",
        "authorized_official_telephone_number": "810-715-7746",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950B513600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Kenneth Rawlings, DDS
• Tamiah Redwine
• Blanca Marie Reiber
• Camryn Relerford
• Reliable Home Care of Michigan LLC
• Renaissance Chiropractic PC
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04948)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04806)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03667)
• Robert E Deck III, O.D., PLLC

• Chiropractor in Burton, MI
• Providers in Burton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.