Organization Active NPI

Renaissance Foot & Ankle Center

  • Durable Medical Equipment & Medical Supplies
  • Greenbelt, MD
National Provider Identifier
1750727350
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01387 Issued in MD
Legal business name
RENAISSANCE FOOT & ANKLE CENTER
Practice address
7223 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2023
Phone
(301) 441-2655
Fax
(301) 441-2656
NPI assigned
May 22, 2013
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Alan Deroy, DPMNPI 1184680043
Title
VP
Phone
(301) 441-2655

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
Durable Medical Equipment & Medical Supplies 332B00000X 01387 MD Primary

Addresses

Primary practice location

7223 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2023

Mailing address

7223 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2023
Phone (301) 441-2655

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Foot Ankle Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1750727350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702023",
            "telephone_number": "301-441-2655",
            "fax_number": "301-441-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702023",
            "telephone_number": "301-441-2655",
            "fax_number": "301-441-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "DEROY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "301-441-2655",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "01387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.