Individual provider Active NPI

Russell Lee Horine, D.C.

  • Chiropractor
  • Visalia, CA
National Provider Identifier
1013162882
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17495 Issued in CA
Practice address
1813 W Caldwell Ave Ste B
Visalia, CA 93277-8003
Phone
(559) 625-1100
Fax
(559) 625-1110
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17495 CA Primary

Addresses

Primary practice location

1813 W Caldwell Ave Ste B
Visalia, CA 93277-8003

Mailing address

1813 W Caldwell Ave Ste B
Visalia, CA 93277-8003
Phone (559) 625-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000539 CA Practitioner - Chiropractic 5890779243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horine Chiropractic CorporationGroup PAC ID 2567529266, 2 clinicians

Practice addresses (Care Compare)

1813 W Caldwell Ave
Suite B
Visalia, CA 93277-8003
Phone (559) 625-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horine Chiropractic Corporation Chiropractor Current Accepting new patients
Horine Chiropractic Corporation Chiropractor CurrentSince Jan 28, 2009 Accepting new patients
Horine & Sweet Chiropractic Chiropractor Past Accepting new patients

Locations

2336 W Sunnyside Ave
Ste B
Visalia, CA 93277
Phone (559) 625-1100

1813 W Caldwell Ave
#B
Visalia, CA 93277
Phone (559) 625-1100

1813 W Caldwell Ave
Visalia, CA 93277

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1013162882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W CALDWELL AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778003",
            "telephone_number": "559-625-1100",
            "fax_number": "559-625-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W CALDWELL AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778003",
            "telephone_number": "559-625-1100",
            "fax_number": "559-625-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORINE",
        "first_name": "RUSSELL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.