Organization Active NPI

Renew Chiropractic & Wellness PA

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1962876730
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11704 Issued in FL
Legal business name
RENEW CHIROPRACTIC & WELLNESS PA
Practice address
1954 W State Road 426
Suite 1112
Oviedo, FL 32765-8891
Phone
(407) 287-6365
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Shervin Victoria Loignon, DC
Title
Owner
Phone
(407) 287-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11704 FL Primary

Addresses

Primary practice location

1954 W State Road 426
Suite 1112
Oviedo, FL 32765-8891

Mailing address

1954 W State Road 426
Suite 1112
Oviedo, FL 32765-8891
Phone (407) 287-6365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1962876730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 W STATE ROAD 426",
            "address_2": "SUITE 1112",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658891",
            "telephone_number": "407-287-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 W STATE ROAD 426",
            "address_2": "SUITE 1112",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658891",
            "telephone_number": "407-287-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "LOIGNON",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-287-6365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.