Dennis Ahlert Russo Jr., DC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1421 Issued in LA

Practice address

4417 Lorino St Ste 104
Metairie, LA 70006-6800

Phone

(504) 407-0896

Fax

(504) 582-9710

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rusty Russo Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Russo Chiropractic Clinic

  • Chiropractor
  • Metairie, LA
  • NPI 1306918859
  Medicare reassignment Authorized official
• Source Chiropractic & Rehabilitation, LLC

  • Medical Specialty Clinic/Center
  • Metairie, LA
  • NPI 1942453329
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1174695613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 LORINO ST STE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066800",
            "telephone_number": "504-407-0896",
            "fax_number": "504-582-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 LORINO ST STE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066800",
            "telephone_number": "504-407-0896",
            "fax_number": "504-582-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DENNIS",
        "middle_name": "AHLERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTY",
            "last_name": "RUSSO",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ron' Jana Russell
• Stillwell Russell Jr.
• Russo Chiropractic Clinic
• Angelo Russo, MD
• Courtney L Russo, M.D.
• Sara Russo
• Jay Carson Rutz, D.M.D., M.S.
• Rebecca Schreiner Ryan, PLPC, MT-BC
• Robert Comel Ryan, MD
• Thomas Baldwin Ryan, M.D.

• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.