Active NPI
Stephen Martin Rendek III, D.C.
- Chiropractor
- Whitehall, OH
National Provider Identifier
1679529325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2940
- Practice address
- 3894 E Broad St
Whitehall, OH 43213-1140 - Phone
- (614) 238-1111
- Fax
- (614) 238-9151
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2940 | OH | Primary |
Addresses
Primary practice location
3894 E Broad St
Whitehall, OH 43213-1140
Mailing address
3894 E Broad St
Whitehall, OH 43213-1140
Phone (614) 238-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2940 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1679529325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3894 E BROAD ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432131140",
"telephone_number": "614-238-1111",
"fax_number": "614-238-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3894 E BROAD ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432131140",
"telephone_number": "614-238-1111",
"fax_number": "614-238-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDEK",
"first_name": "STEPHEN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.