Individual provider Active NPI

Russell L Jones, D.C.

  • Chiropractor
  • Dunbar, WV
National Provider Identifier
1023091238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
561 Issued in WV
Practice address
100 Westmoreland Office Center
Dunbar, WV 25064-2725
Phone
(304) 768-5068
Fax
(304) 768-6251
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 561 WV Primary

Addresses

Primary practice location

100 Westmoreland Office Center
Dunbar, WV 25064-2725

Mailing address

100 Westmoreland Office Park
Dunbar, WV 25064-2725
Phone (304) 768-5068

Other identifiers 1

IdentifierTypeStateIssuer
0131699000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000729 WV Practitioner - Chiropractic 9436174877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Russell L Jones D C Chiropractic CorporationGroup PAC ID 0648295089, 3 clinicians

Practice addresses (Care Compare)

100 Westmoreland Office Park
Dunbar, WV 25064-2725
Phone (304) 768-5068

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russell L Jones D C Chiropractic Corporation Chiropractor CurrentSince Jan 2, 2001 Accepting new patients

Locations

100 Westmoreland Office Park
Dunbar, WV 25064
Phone (304) 768-5068

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023091238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTMORELAND OFFICE PARK",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642725",
            "telephone_number": "304-768-5068",
            "fax_number": "304-768-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTMORELAND OFFICE CENTER",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642725",
            "telephone_number": "304-768-5068",
            "fax_number": "304-768-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131699000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.