Organization Active NPI

Dillsburg Chiropractic Center Inc.

  • Chiropractor
  • Dillsburg, PA
National Provider Identifier
1649434176
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003410L Issued in PA
Legal business name
DILLSBURG CHIROPRACTIC CENTER INC.
Practice address
10 Tristan Dr Ste 103
Dillsburg, PA 17019-1632
Phone
(717) 502-0909
Fax
(717) 502-0013
NPI assigned
Jul 14, 2008
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
John Clifford Renyo, DCNPI 1043328651
Title
President
Phone
(717) 502-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003410L PA Primary

Addresses

Primary practice location

10 Tristan Dr Ste 103
Dillsburg, PA 17019-1632

Mailing address

23684 Bayview Dr
Lewes, DE 19958-3228
Phone (717) 805-9410

Other identifiers 1

IdentifierTypeStateIssuer
T72913OtherPAUPIN

National Provider Directory

National Provider Directory

Locations

10 Tristan Dr
Ste 103
Dillsburg, PA 17019
Phone (717) 502-0909

Practitioners & affiliated clinicians

Practitioners 1

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": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1649434176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23684 BAYVIEW DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583228",
            "telephone_number": "717-805-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRISTAN DR STE 103",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191632",
            "telephone_number": "717-502-0909",
            "fax_number": "717-502-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLSBURG CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "RENYO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-502-0909",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003410L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T72913",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.