Jeffrey Redenius, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

082715 Issued in IA

Practice address

119 E Main St
Lake City, IA 51449-1712

Phone

(712) 210-4255

NPI assigned

May 13, 2016

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redenius Chiropractic PLCGroup PAC ID 3274823182, 2 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.

• Redenius Chiropractic PLC

  • Chiropractor
  • Lake City, IA
  • NPI 1932556347
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1497101034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491712",
            "telephone_number": "712-210-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491712",
            "telephone_number": "712-210-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDENIUS",
        "first_name": "JEFFREY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "082715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opportunity Living
• Tonja S Petersen - Anderson, ARNP
• Pharma340 LLC
• Pharma340 LLC
• Redenius Chiropractic PLC
• Julia A Richardson, MD
• Branden M Roberts
• Michael Edward Schleisman, DC
• Tanner Schrad, DC
• Reed Lewis Smith, DPM

• All providers in Lake City, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.