Organization Active NPI

Dr. John O. Renquist

Doing business as Renquist Chiropractic Clinic

  • Chiropractor
  • Salem, OR
National Provider Identifier
1639466386
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1348 Issued in OR
Legal business name
DR. JOHN O. RENQUIST
Doing business as
Renquist Chiropractic Clinic
Practice address
1095 Liberty St SE
Salem, OR 97302-4140
Phone
(503) 585-1282
Fax
(503) 585-5531
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. John O Renquist, D.C.NPI 1609884535
Title
Doctor of Chiropractic
Phone
(503) 585-1282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1348 OR Primary

Addresses

Primary practice location

1095 Liberty St SE
Salem, OR 97302-4140

Mailing address

1095 Liberty St SE
Salem, OR 97302-4140
Phone (503) 585-1282

Other names 1

  • Renquist Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1095 Liberty St SE
Salem, OR 97302
Phone (503) 585-1282

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1639466386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024140",
            "telephone_number": "503-585-1282",
            "fax_number": "503-585-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024140",
            "telephone_number": "503-585-1282",
            "fax_number": "503-585-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN O. RENQUIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "RENQUIST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "503-585-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renquist Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.