Organization Active NPI

Russell Thyrl Swain III DC PA

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1053572149
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5636 Issued in CO
Legal business name
RUSSELL THYRL SWAIN III DC PA
Practice address
11590 Black Forest Rd Ste 20
Colorado Springs, CO 80908-6000
Phone
(719) 494-0900
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Barbara Swain
Title
Office Manager
Phone
(719) 494-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5636 CO Primary

Addresses

Primary practice location

11590 Black Forest Rd Ste 20
Colorado Springs, CO 80908-6000

Mailing address

11590 Black Forest Rd Ste 20
Colorado Springs, CO 80908-6000
Phone (719) 494-0900

National Provider Directory

National Provider Directory

Locations

11590 Black Forest Rd
Colorado Springs, CO 80908
Phone (719) 494-0900

11590 Black Forest Rd
Ste 20
Colorado Springs, CO 80908
Phone (719) 494-0900

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1053572149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 BLACK FOREST RD STE 20",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809086000",
            "telephone_number": "719-494-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 BLACK FOREST RD STE 20",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809086000",
            "telephone_number": "719-494-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL THYRL SWAIN III DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-494-0900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.