Renewell Sports and Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENEWELL SPORTS AND SPINE LLC

Practice address

665 Boylston St Ste 3
Boston, MA 02116-4825

Phone

(857) 415-9167

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Bonnie Chung, DCNPI 1487284972

Title

Owner

Phone

(857) 415-9167

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Chung, DC

  • Chiropractor
  • Plymouth, MA
  • NPI 1487284972
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1790479772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825",
            "telephone_number": "857-415-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWELL SPORTS AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-415-9167",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Alexandra Rendon Medina, DDS, MSC
• Karina Rendon, RN
• Luis Felipe Rendon, MD
• Doudly Rene, NONE
• Raffaele Renella, M.D., PH.D.
• Michelle Rengarajan, M.D., PH.D.
• Shankar Rengasamy Venugopalan, BDS, DDS, DMSC, PHD
• Sundara Rengasamy, MD
• Maria Camila Rengifo, PT, DPT
• John Arthur Renner Jr., M.D.

• Chiropractor in Boston, MA
• Providers in Boston, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.