NPIMap

Organization Active NPI

Regen Med LLC

  • Chiropractor
  • New Kensington, PA
National Provider Identifier
1982377917
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REGEN MED LLC
Practice address
706 Stevenson Blvd
New Kensington, PA 15068-5371
Phone
(724) 335-5210
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Ronald FestaNPI 1871557231
Title
Owner
Phone
(724) 335-5210

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

706 Stevenson Blvd
New Kensington, PA 15068-5371

Mailing address

706 Stevenson Blvd
New Kensington, PA 15068-5371
Phone (724) 335-5210

Other identifiers 1

IdentifierTypeStateIssuer
712021MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL NewKensington$

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1982377917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 STEVENSON BLVD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150685371",
            "telephone_number": "724-335-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 STEVENSON BLVD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150685371",
            "telephone_number": "724-335-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "FESTA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-335-5210"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712021",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NewKensington$",
            "affiliation": "N",
            "address_1": "706 Stevenson Blvd",
            "city": "New Kensington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150685371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.