Organization Active NPI

Renaissance Clinical Research

  • Specialist
  • Dallas, TX
National Provider Identifier
1932284502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E0896 Issued in TX
Legal business name
RENAISSANCE CLINICAL RESEARCH
Practice address
5959 Harry Hines Blvd Ste 820
Dallas, TX 75235-6233
Phone
(214) 638-1773
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Waymon DrummondNPI 1659310597
Title
Owner
Phone
(214) 638-1773

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X E0896 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd Ste 820
Dallas, TX 75235-6233

Mailing address

5959 Harry Hines Blvd Ste 820
Dallas, TX 75235-6233
Phone (214) 638-1773

Other identifiers 1

IdentifierTypeStateIssuer
8S7400OtherTXBC/BS

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Clinical Research2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5959 Harry Hines Blvd
Ste 820
Dallas, TX 75235
Phone (214) 638-1773

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932284502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD STE 820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356233",
            "telephone_number": "214-638-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD STE 820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356233",
            "telephone_number": "214-638-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "WAYMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-638-1773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E0896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8S7400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.