Organization Active NPI

Robert C. Rendina, D.C., Apc

  • Chiropractor
  • Ruston, LA
National Provider Identifier
1881855898
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
672 Issued in LA
Legal business name
ROBERT C. RENDINA, D.C., APC
Practice address
103 W Georgia Ave
Ruston, LA 71270-3846
Phone
(318) 251-2243
Fax
(318) 251-2266
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Robert C Rendina, D.C.NPI 1912051962
Title
Owner/Doctor
Phone
(318) 251-2243

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 672 LA Primary

Addresses

Primary practice location

103 W Georgia Ave
Ruston, LA 71270-3846

Mailing address

103 W Georgia Ave
Ruston, LA 71270-3846
Phone (318) 251-2243

Other names 1

  • Chironetwork Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000658 LA Part B Supplier - Clinic/Group Practice 2466640396 Receives reassigned benefits from 1 practitioner
Practice locations: Ruston, LA

National Provider Directory

National Provider Directory

Locations

103 W Georgia Ave
Ruston, LA 71270
Phone (318) 251-2243

Practitioners & affiliated clinicians

Practitioners 1

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1881855898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703846",
            "telephone_number": "318-251-2243",
            "fax_number": "318-251-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703846",
            "telephone_number": "318-251-2243",
            "fax_number": "318-251-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. RENDINA, D.C., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "RENDINA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "318-251-2243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chironetwork Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.