Organization Active NPI

Neuro Renovations LLC

Doing business as Neuro Renovations Chiropractic & Acupuncture

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1407485063
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEURO RENOVATIONS LLC
Doing business as
Neuro Renovations Chiropractic & Acupuncture
Practice address
7301 Broadway Ext Ste 102
Oklahoma City, OK 73116-9038
Phone
(405) 200-1931
Fax
(405) 200-1623
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Gregory Mendiaz, DCNPI 1134692973
Title
Owner/Doctor
Phone
(405) 200-1931

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7301 Broadway Ext Ste 102
Oklahoma City, OK 73116-9038

Mailing address

PO Box 720681
Oklahoma City, OK 73172-0681

Other names 1

  • Neuro Renovations Chiropractic & Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

7301 Broadway Ext
Ste 102
Oklahoma City, OK 73116
Phone (405) 200-1931

13325 N MacArthur Blvd
Ste 5
Oklahoma City, OK 73142

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": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1407485063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720681",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731720681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 BROADWAY EXT STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169038",
            "telephone_number": "405-200-1931",
            "fax_number": "405-200-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO RENOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MENDIAZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "405-200-1931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Renovations Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neuro Renovations Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.