Active NPI
Russell St.Romain
- Chiropractor
- Irving, TX
National Provider Identifier
1053265785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16825
- Practice address
- 515 Promenade Pkwy
Irving, TX 75039-1317 - Phone
- (972) 556-5667
- NPI assigned
- Feb 20, 2026
- Last updated
- Feb 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16825 | TX | Primary |
Addresses
Primary practice location
515 Promenade Pkwy
Irving, TX 75039-1317
Mailing address
515 Promenade Pkwy
Irving, TX 75039-1317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4324 S Sherwood Forest Blvd
Suite B170
Baton Rouge, LA 70816-4481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16825 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1053265785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 PROMENADE PKWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750391317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 PROMENADE PKWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750391317",
"telephone_number": "972-556-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.ROMAIN",
"first_name": "RUSSELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "16825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Srilatha a. Reddy, M.D., P.a
- SSC Chiropractic, P.a. (Spinal Specialist Clinic)
- St Frances Home Health Agency
- St Jude's Home Health Agency (N/a)
- St Onge Chiropractic & Sports Therapy
- Alexandria Taylor Stack
- Ronney F Stadler, MD
- Courtney Christine Stafford
- Eva Dean Stambaugh, R.N.
- Kaitlynn Stanton, OTD, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.