Organization Active NPI

Russ Fasolino Inc.

  • Chiropractor
  • Steamboat Springs, CO
National Provider Identifier
1093037830
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2475 Issued in CO
Legal business name
RUSS FASOLINO INC.
Practice address
320 Oak St.
Steamboat Springs, CO 80487
Phone
(970) 870-8888
Fax
(970) 870-3976
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Russ Fasolino, D.C., L.AC.NPI 1174528749
Title
President
Phone
(970) 870-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2475 CO Primary

Addresses

Primary practice location

320 Oak St.
Steamboat Springs, CO 80487

Mailing address

PO Box 772583
320 Oak St.
Steamboat Springs, CO 80477-2583
Phone (970) 870-8888

National Provider Directory

National Provider Directory

Locations

2851 Riverside Plz
Steamboat Springs, CO 80487
Phone (970) 870-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1093037830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772583",
            "address_2": "320 OAK ST.",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804772583",
            "telephone_number": "970-870-8888",
            "fax_number": "970-870-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OAK ST.",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-870-8888",
            "fax_number": "970-870-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS FASOLINO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "FASOLINO",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-870-8888",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.