Organization Active NPI

Kurt J. Russell DC PA

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1083806590
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004498 Issued in FL
Legal business name
KURT J. RUSSELL DC PA
Practice address
1501 N Federal Hwy
Delray Beach, FL 33483-5923
Phone
(561) 243-0245
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Kurt Joseph Russell, D.C.
Title
Owner
Phone
(561) 243-0245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0004498 FL Primary

Addresses

Primary practice location

1501 N Federal Hwy
Delray Beach, FL 33483-5923

Mailing address

1501 N Federal Hwy
Delray Beach, FL 33483-5923
Phone (561) 243-0245

Other identifiers 1

IdentifierTypeStateIssuer
1730274564OtherFLPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

1501 N Federal Hwy
Delray Beach, FL 33483
Phone (561) 243-0245

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1083806590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835923",
            "telephone_number": "561-243-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835923",
            "telephone_number": "561-243-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT J. RUSSELL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-243-0245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1730274564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.