Individual provider Active NPI

Brett James Renze, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1609006071
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007229 Issued in IA
Practice address
925 E 1St St
Suite J.
Ankeny, IA 50021-2169
Phone
(515) 963-1083
Fax
(515) 963-1089
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007229 IA Primary

Addresses

Primary practice location

925 E 1St St
Suite J.
Ankeny, IA 50021-2169

Mailing address

925 E 1St St
Suite J.
Ankeny, IA 50021-2169
Phone (515) 963-1083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000104 IA Practitioner - Chiropractic 2163568932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 E 1St St J
Ankeny, IA 50021-2169
Phone (515) 963-1083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007229IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Chiropractic Clinic PC Chiropractor CurrentSince Oct 8, 2009 Accepting new patients

Locations

925 E 1st St
Ste J
Ankeny, IA 50021
Phone (515) 963-1083

Organizations & group practices 1

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1609006071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E 1ST ST",
            "address_2": "SUITE J.",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212169",
            "telephone_number": "515-963-1083",
            "fax_number": "515-963-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E 1ST ST",
            "address_2": "SUITE J.",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212169",
            "telephone_number": "515-963-1083",
            "fax_number": "515-963-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZE",
        "first_name": "BRETT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.