Organization Active NPI

Vive Family Chiropractic PLLC

  • Chiropractor
  • Jefferson, IA
National Provider Identifier
1912849258
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIVE FAMILY CHIROPRACTIC PLLC
Practice address
102 S Wilson Ave
Jefferson, IA 50129-2153
Phone
(515) 386-2976
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Leah P Renwanz, DCNPI 1295248375
Title
Owner
Phone
(515) 370-3035

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 Primary

Addresses

Primary practice location

102 S Wilson Ave
Jefferson, IA 50129-2153

Mailing address

102 S Wilson Ave
Jefferson, IA 50129-2153
Phone (515) 386-2976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260330001057 IA Part B Supplier - Clinic/Group Practice 9638654551 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson, IA

National Provider Directory

National Provider Directory

Locations

102 S Wilson Ave
Jefferson, IA 50129
Phone (515) 386-2976

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1912849258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WILSON AVE",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292153",
            "telephone_number": "515-386-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WILSON AVE",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292153",
            "telephone_number": "515-386-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "RENWANZ",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-370-3035",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.