Timothy G Renn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003594 Issued in WA

Practice address

10919 Canyon Rd E
Puyallup, WA 98373-4262

Phone

(253) 539-3854

Fax

(253) 539-3864

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Corbin Chiropractic Clinic PLLC

  • Chiropractor
  • Renton, WA
  • NPI 1598897050
  Medicare reassignment NPD
• Renn Chiropractic PS

  • Chiropractor
  • Puyallup, WA
  • NPI 1821150772
  NPD (past) Authorized official
• Evolution Chiropractic LLC

  • Chiropractor
  • Puyallup, WA
  • NPI 1326367632
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1740477694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734262",
            "telephone_number": "253-539-3854",
            "fax_number": "253-539-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734262",
            "telephone_number": "253-539-3854",
            "fax_number": "253-539-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENN",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group Northwest, Inc.
• Renew Aesthetics and Regenerative Medicine
• Rashaun A Renggli
• Shannon Renich
• Renn Chiropractic PS
• Renton Vision Center Inc PS
• Cassandra Mae Repasky
• Robyn Rae Repass, COTA
• Amee Elizabeth Respicio, LICSW, CMHS
• Restore Physical Therapy PS

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.