Chad Daniel Renwick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3401 Issued in MN

Practice address

13786 Frontier CT Ste 100
Burnsville, MN 55337-4832

Phone

(952) 891-1955

Fax

(952) 891-1483

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burnsville Family Chiropractic

  • Chiropractor
  • Burnsville, MN
  • NPI 1184904369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780761395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13786 FRONTIER CT STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374832",
            "telephone_number": "952-891-1955",
            "fax_number": "952-891-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13786 FRONTIER CT STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374832",
            "telephone_number": "952-891-1955",
            "fax_number": "952-891-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENWICK",
        "first_name": "CHAD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "84D20BU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674222000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Counseling/Sarah Doll
• Renew Mental Health PLLC
• Renew Women's Health PLLC
• Renewed Living L.L.C.
• Danna Dawn Evans Renner, CNS
• Restorative Care Services LLC
• Resurgence Chiropractic Clinic LLC
• Revive Periodontics and Implants
• Brittany Reye, NTM
• Michael Thomas Reynolds, D.D.S.

• Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.