Active NPI
Renew Medical Group of Idaho, PC
- Diagnostic Radiology Physician
- Caldwell, ID
National Provider Identifier
1881408003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RENEW MEDICAL GROUP OF IDAHO, PC
- Practice address
- 1717 Arlington Ave
Caldwell, ID 83605-4802 - Phone
- (208) 459-4641
- NPI assigned
- Feb 6, 2025
- Last updated
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darin L Rentz, DO
- Title
- President
- Phone
- (844) 565-6471
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
1717 Arlington Ave
Caldwell, ID 83605-4802
Mailing address
700 E Redlands Blvd Ste U302
Redlands, CA 92373-6109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
700 E Redlands Blvd
Ste U302
Redlands, CA 92373
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Lakewood, CO
- NPI 1114959533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1881408003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E REDLANDS BLVD STE U302",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 ARLINGTON AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054802",
"telephone_number": "208-459-4641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW MEDICAL GROUP OF IDAHO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-06",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "RENTZ",
"authorized_official_first_name": "DARIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-565-6471",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.