Russell L. Evans Enterprises Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1508 Issued in AR

Legal business name

RUSSELL L. EVANS ENTERPRISES INC

Practice address

400 W Race Ave
Searcy, AR 72143-4133

Phone

(501) 268-1800

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell Evans, D.CNPI 1083683882

Title

President

Phone

(501) 268-1800

Specialties & licenses 1

Addresses

Other names 1

• evans chiropractic clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Russell Lewis Evans, D.C.

  • Chiropractor
  • Searcy, AR
  • NPI 1083683882
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1093856486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "501-268-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "501-268-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. EVANS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-268-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "evans chiropractic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Romero
• Matthew Charles Rosen, MD
• Kwan Rosloniec
• Whitney Rupert, QBHP
• Lacy Rush
• Erin E Russell, SLP-CCC
• Lanita Kaye Russell, PT,DPT
• Autumn Renee Safley, MS, OTR/L
• Stephanie Sagers
• Caitlin Sammons, LCSW

• Chiropractor in Searcy, AR
• Providers in Searcy, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.