Individual provider Active NPI

Gerald C Renato, DC

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1497969349
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1445 Issued in SC
Practice address
18 Oak Forest Rd
Suite C
Bluffton, SC 29910-4989
Phone
(843) 706-2378
Fax
(843) 706-2178
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1445 SC Primary

Addresses

Primary practice location

18 Oak Forest Rd
Suite C
Bluffton, SC 29910-4989

Mailing address

33 Daniels Island Way
Bluffton, SC 29910-6170
Phone (843) 706-3152

Other identifiers 1

IdentifierTypeStateIssuer
CH1445MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000297 SC Practitioner - Chiropractic 6002874278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Pain Relief CenterGroup PAC ID 4981868593, 5 clinicians

Practice addresses (Care Compare)

2294 Otranto Rd
North Charleston, SC 29406-9603
Phone (843) 225-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher of Men, LLC CurrentSince Jul 15, 2013 Accepting new patients
Advanced Medical Associates of Beaufort, PC Chiropractor Past Accepting new patients

Locations

18 Oak Forest Rd
Ste C
Bluffton, SC 29910
Phone (563) 271-5676

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1497969349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DANIELS ISLAND WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106170",
            "telephone_number": "843-706-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK FOREST RD",
            "address_2": "SUITE C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104989",
            "telephone_number": "843-706-2378",
            "fax_number": "843-706-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENATO",
        "first_name": "GERALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1445",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.