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ROSEBURG CHIROPRACTIC PC
NPI 1104099860
Chiropractor in Roseburg, OR

Active since April 02, 2008
1632 NW HUGHWOOD CT, STE 1, ROSEBURG, OR 97471(541) 677-9199(541) 672-4326 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roseburg Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEBURG CHIROPRACTIC PC (NPI 1104099860) is a healthcare organization registered as a chiropractor in Roseburg, Oregon and active in the NPI registry since April 2008. The organization lists Donald E Reneau, President, as its authorized official.

NPPES Registry Identity

NPI1104099860
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameROSEBURG CHIROPRACTIC PC
Location Address1632 NW HUGHWOOD CT, STE 1Roseburg, OR 97471-8881
Mailing Address1632 Nw Hughwood Ct, Ste 1Roseburg, OR 97471-8881 · (541) 677-9199 · Fax (541) 672-4326
Phone(541) 677-9199
Fax(541) 672-4326
Organization SubpartNo
Authorized OfficialDonald E ReneauPresident · (541) 677-9199
Enumeration DateApril 2, 2008
Last NPPES UpdateFebruary 7, 2013
✔ NPI 1104099860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 273086
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1632 NW HUGHWOOD CT, Roseburg, OR 97471
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Other Identifiers 1

Medicare PINR102735OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseburg Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roseburg Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Reneau, DC
Chiropractic
NPI 1447384433
780 NW GARDEN VALLEY BLVD SUITE 300
Roseburg, OR 97470
(541) 677-9199
✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roseburg Chiropractic PC's NPI number?

The NPI number for Roseburg Chiropractic PC is 1104099860. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Roseburg Chiropractic PC located?

Roseburg Chiropractic PC is located at 1632 NW Hughwood Ct Ste 1, Roseburg, OR 97471. The listed phone number is (541) 677-9199.

What is Roseburg Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Roseburg Chiropractic PC enrolled in Medicare?

Yes. Roseburg Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseburg Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Roseburg Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roseburg Chiropractic PC was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.