NPIMap

Organization Active NPI

Rediclinic US, LLC

  • Clinic/Center
  • Canton, GA
National Provider Identifier
1902079601
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REDICLINIC US, LLC
Practice address
1550 Riverstone Pkwy
Canton, GA 30114-2889
Phone
(866) 607-7334
NPI assigned
Apr 2, 2008
Organization subpart
Yes
Parent organization
REDICLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Rick Vanpelt
Title
Coo
Phone
(866) 607-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1550 Riverstone Pkwy
Canton, GA 30114-2889

Mailing address

9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone (866) 607-7334

Other names 1

  • RediClinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rediclinic42 organizations share this tax ID, including this one
Part of
Rediclinic LLC

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1902079601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ",
            "address_2": "SUITE 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460905",
            "telephone_number": "866-607-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RIVERSTONE PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142889",
            "telephone_number": "866-607-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC US, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDICLINIC, LLC",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "VANPELT",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-607-7334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.