Active NPI
Russ F. Fasolino, D.C.
- Chiropractor
- Steamboat Springs, CO
National Provider Identifier
1174528749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2475
- Practice address
- 320 Oak Street
Steamboat Springs, CO 80477 - Phone
- (970) 870-8888
- Fax
- (970) 870-3076
- NPI assigned
- Jun 20, 2005
- Last updated
- Nov 9, 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 | 2475 | CO | Primary |
Addresses
Primary practice location
320 Oak Street
Steamboat Springs, CO 80477
Mailing address
PO Box 772583
320 Oak Street
Steamboat Springs, CO 80477-2583
Phone (970) 870-8888
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2475 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russ Fasolino Inc. | Chiropractor | Current | Accepting new patients |
Locations
2851 Riverside Plz
Steamboat Springs, CO 80487
Phone (970) 870-8888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Steamboat Springs, CO
- NPI 1093037830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1174528749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772583",
"address_2": "320 OAK STREET",
"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 STREET",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "80477",
"telephone_number": "970-870-8888",
"fax_number": "970-870-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASOLINO",
"first_name": "RUSS",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_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 Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.