Redenius Chiropractic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

082715 Issued in IA

Legal business name

REDENIUS CHIROPRACTIC PLC

Practice address

119 E Main St
Lake City, IA 51449-1712

Phone

(712) 210-4255

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Redenius, D.C.NPI 1497101034

Title

Chiropractor

Phone

(712) 210-4255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Jeffrey Redenius, D.C.

  • Chiropractor
  • Lake City, IA
  • NPI 1497101034
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Lee Schwartz-Webb, D.C.

  • Chiropractor
  • Spirit Lake, IA
  • NPI 1649252271
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1932556347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491712",
            "telephone_number": "712-210-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491712",
            "telephone_number": "712-210-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDENIUS CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "REDENIUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-210-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "082715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opportunity Living
• Opportunity Living
• Tonja S Petersen - Anderson, ARNP
• Pharma340 LLC
• Pharma340 LLC (Community Pharmacy of Lake CIty)
• Jeffrey Redenius, D.C.
• Julia A Richardson, MD
• Branden M Roberts
• Michael Edward Schleisman, DC
• Tanner Schrad, DC

• Chiropractor in Lake City, IA
• Providers in Lake City, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.