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RENEW SPINE CENTER, PC
NPI 1649679630
Chiropractor in Brevard, NC

Active since August 15, 2014
6 PARK PL W, BREVARD, NC 28712(828) 883-8262(828) 883-8264 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renew Spine Center, Pc NPPES

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

RENEW SPINE CENTER, PC (NPI 1649679630) is a healthcare organization registered as a chiropractor in Brevard, North Carolina and active in the NPI registry since August 2014. The organization lists Jasen Todd Van Dyke, Owner, as its authorized official.

NPPES Registry Identity

NPI1649679630
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRENEW SPINE CENTER, PC
Location Address6 PARK PL WBrevard, NC 28712-3081
Mailing Address6 Park Pl WBrevard, NC 28712-3081 · (828) 883-8262 · Fax (828) 883-8264
Phone(828) 883-8262
Fax(828) 883-8264
Organization SubpartNo
Authorized OfficialJasen Todd Van DykeOwner · (828) 883-8262
Enumeration DateAugust 15, 2014
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1649679630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 4464
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.
6 PARK PL W, Brevard, NC 28712
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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)

Renew Spine Center, 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 Renew Spine Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jasen Vandyke, DC
Chiropractic
NPI 1063855203
6 PARK PL W
Brevard, NC 28712
(828) 883-8262
✔ Accepts MedicareSame address

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 Renew Spine Center, PC's NPI number?

The NPI number for Renew Spine Center, PC is 1649679630. It was assigned to this organization in the NPPES registry on August 15, 2014.

Where is Renew Spine Center, PC located?

Renew Spine Center, PC is located at 6 Park Pl W, Brevard, NC 28712. The listed phone number is (828) 883-8262.

What is Renew Spine Center, PC's specialty?

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

Is Renew Spine Center, PC enrolled in Medicare?

Yes. Renew Spine Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Spine Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Renew Spine Center, 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 Renew Spine Center, PC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.