Ren-Nic Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC003572-L Issued in PA

Legal business name

REN-NIC CHIROPRACTIC LLC

Doing business as

family chiropractic & wellness center

Practice address

4384 Manayunk Ave
Suite 1
Philadelphia, PA 19128-4831

Phone

(215) 508-4636

Fax

(215) 508-5492

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Faustino, D.C.

Title

President

Phone

(215) 508-4636

Specialties & licenses 1

Addresses

Other names 1

• family chiropractic & wellness center Doing business as

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1811104177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 MANAYUNK AVE",
            "address_2": "SUITE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284831",
            "telephone_number": "215-508-4636",
            "fax_number": "215-508-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 MANAYUNK AVE",
            "address_2": "SUITE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284831",
            "telephone_number": "215-508-4636",
            "fax_number": "215-508-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REN-NIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "FAUSTINO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-508-4636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003572-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family chiropractic & wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Remove Rehab and Performance LLC
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• Megan Elaine Remsen
• Anna Remy
• Carli Alexandra Remy, CNM
• Alexander Liang Ren
• Ellen Ren, O.D.
• Emily Yian Ren, MD
• Jennifer Jielei Ren, DO
• Kyle Ren

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.