Active NPI
Renown Businesses
Doing business as Boutique at Renown
- Durable Medical Equipment & Medical Supplies
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MP00115
- Legal business name
- RENOWN BUSINESSES
- Doing business as
- Boutique at Renown
- Practice address
- 75 Pringle Way Ste 107
Reno, NV 89502-8424 - Phone
- (775) 982-5075
- Fax
- (775) 982-5005
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 3, 2024
- Organization subpart
- Yes
- Parent organization
- RENOWN BUSINESSES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brett Moore
- Title
- Cfo Acute Care
- Phone
- (775) 982-6343
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MP00115 | NV | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 68527 | NV |
Addresses
Primary practice location
75 Pringle Way Ste 107
Reno, NV 89502-8424
Mailing address
75 Pringle Way Ste 107
Reno, NV 89502-8424
Phone (775) 982-5075
Other names 1
- Boutique at Renown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930019199 | NV | DME Supplier - Medical Supply Company With Prosthetic Personnel | 4981500485 | Practice locations: Reno, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Lactation Connection | Breast Prostheses and/or Accessories | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Washoe Professional Cen
- Part of
- Washoe Professional Cen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Reno, NV
- NPI 1427121334
Member organizations 6
Organizations listed as members of this organization in the National Provider Directory.
-
dba Northern Sierra Dialysis Center at South Meadows
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1770686255
Member Of
-
dba South Meadow Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1417197195
Member Of
-
dba Sparks Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sparks, NV
- NPI 1629218185
Member Of
-
dba Carson City Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Carson City, NV
- NPI 1669612347
Member Of
-
dba Sierra Rose Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1679713036
Member Of
-
dba Reno Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reno, NV
- NPI 1700026481
Member Of
Locations
75 Pringle Way
Ste 107
Reno, NV 89502
Phone (775) 982-5075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1467558668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 107",
"city": "RENO",
"state": "NV",
"postal_code": "895028424",
"telephone_number": "775-982-5075",
"fax_number": "775-982-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 107",
"city": "RENO",
"state": "NV",
"postal_code": "895028424",
"telephone_number": "775-982-5075",
"fax_number": "775-982-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENOWN BUSINESSES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RENOWN BUSINESSES",
"enumeration_date": "2006-09-15",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "CFO ACUTE CARE",
"authorized_official_telephone_number": "775-982-6343",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "MP00115",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "68527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boutique at Renown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
- Reno Vet Center
- Reno-Sparks Clinic Health (Behavioral Health)
- Reno-Sparks Tribal Health Center
- Reno-Sparks Tribal Health Center
- Renovation Mental Health Services, LLC
- Renown Health Pharmacy
- Renown Medical School Associates North, Inc. (University Health Psychiatry & Behavioral Health)
- Renown Medical School Associates North, Inc.
- Renown Medical School Associates North, Inc. (Medschool Associaes North)
- Renown Medical School Associates North, Inc. (MedSchool Associates North)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.