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DALTON MARK RENICK DO
NPI 1174013932
Pediatrics in Roanoke, VA

Active since May 16, 2018
4040 POSTAL DR, ROANOKE, VA 24018(540) 772-4453(540) 772-4717 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Nov 10, 2021, May 16, 2018 (3 updates tracked since 2018).

About Dalton Mark Renick Do NPPES

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

DALTON MARK RENICK DO (NPI 1174013932) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0102206530) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1174013932
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDALTON MARK RENICKCredential: DO
Location Address4040 POSTAL DRRoanoke, VA 24018-6438
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715 · Fax (540) 224-5684
Phone(540) 772-4453
Fax(540) 772-4717
Sole ProprietorNo
Enumeration DateMay 16, 2018
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1174013932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0102206530✔ Licensed in SC · LL51961
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4040 POSTAL DR, Roanoke, VA 24018
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUIANNA SHANEA FLOOD CPNP-PC
Nurse Practitioner (Pediatrics)
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
DR. AMY KATHLEEN BARNHART M.D.
Pediatrics
4040 POSTAL DR, CARILION PEDIATRIC MEDICINE
ROANOKE, VA 24018
Roanoke County (540) 772-4453
WILLIAM H CRAFT JR. MD
Pediatrics
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
DR. CARL WAYNE DOWDEN M.D.
Pediatrics
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
DR. MARK A PATTERSON MD
Pediatrics
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
CHRISTOPHER PIERCE MD
Pediatrics
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
SHELLEY BYRD NP
Nurse Practitioner
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453
KATHY AMOROSO MD
Pediatrics
4040 POSTAL DR
ROANOKE, VA 24018
Roanoke County (540) 772-4453

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 Dalton Renick's NPI number?

The NPI number for Dalton Renick is 1174013932. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Dalton Renick located?

Dalton Renick practices at 4040 Postal Dr, Roanoke, VA 24018. The listed phone number is (540) 772-4453.

What is Dalton Renick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Dalton Renick was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.