Active NPI
Michael Dennis Russell, DC
- Chiropractor
- Salinas, CA
National Provider Identifier
1124242821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18622
- Practice address
- 1164 Monroe St
Suite #1
Salinas, CA 93906-3565 - Phone
- (831) 443-1222
- Fax
- (831) 443-0732
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC18622 | CA | Primary |
Addresses
Primary practice location
1164 Monroe St
Suite #1
Salinas, CA 93906-3565
Mailing address
1164 Monroe St
Suite #1
Salinas, CA 93906-3565
Phone (831) 443-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18622 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1124242821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 MONROE ST",
"address_2": "SUITE #1",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063565",
"telephone_number": "831-443-1222",
"fax_number": "831-443-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 MONROE ST",
"address_2": "SUITE #1",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063565",
"telephone_number": "831-443-1222",
"fax_number": "831-443-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.