Andrew Lewis Reno, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555960 Issued in VA

Practice address

4500 Plank Rd
Suite 1022
Fredericksburg, VA 22407-0120

Phone

(540) 785-0200

Fax

(540) 785-0660

NPI assigned

May 19, 2006

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 7

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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 and National Provider Directory roles.

• Fredericksburg DME

  • Chiropractor
  • Fredericksburg, VA
  • NPI 1184114068
  NPD Authorized official
• Total Rehab, Inc

  • Sports Physician Chiropractor
  • Fredericksburg, VA
  • NPI 1174630982
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1790738623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD",
            "address_2": "SUITE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200",
            "fax_number": "540-785-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD",
            "address_2": "SUITE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200",
            "fax_number": "540-785-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "ANDREW",
        "middle_name": "LEWIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2101714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2740701",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2101714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "434855",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVPPO",
            "identifier": "505767",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "542053575",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S974-0001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie D Rekdal, RD
• Relational Behavior Consultation, LLC
• Jennifer Reluya, AGPCNP
• Rachel Remer
• Marshall Rennie, DPT
• Cynthia Gustafson Repanshek, PSY.D.
• Restoration Place Behavioral Health & Wellness, LLC
• Restoring Clarity, LLC
• Carolin Kiriaki Retzke
• Revelations Counseling & Consulting, LLC

• Chiropractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.