Active NPI
Russell David Caram, D.C.
- Chiropractor
- Bethel, CT
National Provider Identifier
1013088533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 906
- Practice address
- 182 Grassy Plain St
Bethel, CT 06801-2807 - Phone
- (203) 748-2499
- Fax
- (203) 748-1381
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 906 | CT | Primary |
| Chiropractor | 111N00000X | 20541 | CA | |
| Chiropractor | 111N00000X | X06581 | NY |
Addresses
Primary practice location
182 Grassy Plain St
Bethel, CT 06801-2807
Mailing address
182 Grassy Plain St
Bethel, CT 06801-2807
Phone (203) 748-2499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000960 | CT | MD | Marriage & Family Therapist |
| X06581 | NY | MD | Chiropractor |
| 000906 | CT | MD | Medical Physician Assistant |
| 20541 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Russell D Caram & Associates PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bethel, CT
- NPI 1659482719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1013088533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 GRASSY PLAIN ST",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012807",
"telephone_number": "203-748-2499",
"fax_number": "203-748-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 GRASSY PLAIN ST",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012807",
"telephone_number": "203-748-2499",
"fax_number": "203-748-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAM",
"first_name": "RUSSELL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "906",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20541",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X06581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.