Organization Active NPI

Renewed Hope Chiropractic, LLC

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1851532949
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
839 Issued in ND
Legal business name
RENEWED HOPE CHIROPRACTIC, LLC
Doing business as
Renewed Hope Chiropractic
Practice address
1726 S Washington St
Ste 79
Grand Forks, ND 58201-6370
Phone
(701) 738-0990
Fax
(701) 738-0992
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Garret SwensonNPI 1285875666
Title
Chiropractor
Phone
(701) 738-0990

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 839 ND Primary

Addresses

Primary practice location

1726 S Washington St
Ste 79
Grand Forks, ND 58201-6370

Mailing address

1726 S Washington St
Ste 79
Grand Forks, ND 58201-6370
Phone (701) 738-0990

Other names 1

  • Renewed Hope Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004001218 ND Part B Supplier - Clinic/Group Practice 8426240847 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

402 University Ave
Ste 4
Grand Forks, ND 58203
Phone (701) 330-8373

1726 S Washington St
Ste 79
Grand Forks, ND 58201
Phone (701) 738-0990

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1851532949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "STE 79",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "STE 79",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-738-0990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Hope Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.