NPIMap

Organization Active NPI

Simply Renew

  • Clinic/Center
  • Dayton, OH
National Provider Identifier
1639740327
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIMPLY RENEW
Practice address
10785 Yankee St
Dayton, OH 45458-3572
Phone
(937) 267-5799
NPI assigned
Jul 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Sara EdwardsNPI 1306454954
Title
Owner
Phone
(937) 267-6799

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10785 Yankee St
Dayton, OH 45458-3572

Mailing address

700 Banbury Rd
Dayton, OH 45459-1650
Phone (937) 267-6799

Other names 1

  • Simply ReNew Doing business as

National Provider Directory

National Provider Directory

Locations

10785 Yankee St
Dayton, OH 45458
Phone (937) 267-5799

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24258/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1639740327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BANBURY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591650",
            "telephone_number": "937-267-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 YANKEE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583572",
            "telephone_number": "937-267-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY RENEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-267-6799"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply ReNew",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.