Ryan John Edward Renz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6361 Issued in OR

Practice address

10225 SW Hall Blvd Ste 104
Tigard, OR 97223-8855

Phone

(503) 208-3579

NPI assigned

Jan 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Rhodes Chiropractic, LLCGroup PAC ID 9830551787, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rhodes Chiropractic, LLC

  • Chiropractor
  • Tigard, OR
  • NPI 1275285983
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1427829779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 SW 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972213641",
            "telephone_number": "208-651-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 SW HALL BLVD STE 104",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238855",
            "telephone_number": "503-208-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "RYAN",
        "middle_name": "JOHN EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabcare Group East, LLC
• Michelle A Reilly, LPC INTERN
• Tessa Reinhart
• Katrenka R Rember, MD
• Eryn Remington, QMHP
• Mary Kathryn Resk
• Restorative Hope
• Restore Massage PDX LLC
• Angel Revelles
• Jorge Alejandro Reveron, ND

• Chiropractor in Tigard, OR
• Providers in Tigard, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.