DALTON M. RENICK DO – NPI #1174013932
Pediatrics

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.

DALTON RENICK is a physician located in ROANOKE, VA. NPPES has assigned the NPI number 1174013932 to DALTON RENICK on May 16, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Aug 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DALTON RENICK below.

NPI Profile for
DALTON M. RENICK

NPI Number
1174013932
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DALTON M. RENICK
Credentials
DO
Primary location
4040 POSTAL DR
ROANOKE, VA 24018-6438
Phone: (540) 772-4453 Fax: (540) 772-4717
Mailing address
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone: (540) 224-5715 Fax: (540) 224-5684
Sole Proprietor
No
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
SC LL51961

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.