Organization Active NPI

Renew Orthopedic Center

  • Sports Medicine (Family Medicine) Physician
  • Waco, TX
National Provider Identifier
1396561486
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
RENEW ORTHOPEDIC CENTER
Practice address
105 Old Hewitt Rd Ste 300
Waco, TX 76712-6565
Phone
(254) 309-2288
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Christopher Miars, DONPI 1194794537
Title
Owner
Phone
(254) 309-2244

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
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

105 Old Hewitt Rd Ste 300
Waco, TX 76712-6565

Mailing address

105 Old Hewitt Rd Ste 300
Waco, TX 76712-6565
Phone (254) 309-2288

National Provider Directory

National Provider Directory

Locations

105 Old Hewitt Rd
Ste 300
Waco, TX 76712
Phone (254) 309-2288

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1396561486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OLD HEWITT RD STE 300",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126565",
            "telephone_number": "254-309-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OLD HEWITT RD STE 300",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126565",
            "telephone_number": "254-309-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW ORTHOPEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "MIARS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-309-2244",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.