Active NPI
Joseph Paul Russell, D.C.
- Chiropractor
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30800
- Practice address
- 438 W Beverly PL Ste 101
Tracy, CA 95376-3011 - Phone
- (209) 832-9221
- Fax
- (209) 832-9297
- NPI assigned
- Feb 5, 2008
- Last updated
- Dec 21, 2023
- 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 | DC30800 | CA | Primary |
Addresses
Primary practice location
438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Mailing address
438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone (209) 832-9221
Other practice location 1
583 Wicklund Crossing Way
Mountain House, CA 95391-1100
Phone (209) 836-3597 ext. 2
Other practice location 2
130 N Grant Ave
Manteca, CA 95336-4601
Phone (209) 825-5610 ext. 3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
438 W Beverly PL
Suite 101
Tracy, CA 95376-3011
Phone 20983292211
438 W Beverly Place
Suite 101
Tracy, CA 95376-3011
Phone (209) 832-9221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30800 | CA | MD | Chiropractor |
| 30800 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coykendall Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Garrido, Russell & Coykendall Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
| Darwin Van Wyngarden a Professional Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
| Garrido Russell Chiropractic Corp | Chiropractor | Past | Accepting new patients |
| Applied Chiropractic Solotions | Chiropractor | Past | Accepting new patients |
Locations
130 N Grant Ave
Manteca, CA 95336
Phone (209) 825-5610
583 Wicklund Crossing Way
Mtn House, CA 95391
Phone (209) 836-3597
1444 W Main St
Ste D
Ripon, CA 95366
Phone 2095992699 ext. 4
438 W Beverly Pl
Ste 101
Tracy, CA 95376
Phone (209) 832-9221
Organizations & group practices 5
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.
-
dba Valley Chiropractic Center of Tracy
- Chiropractor
- Tracy, CA
- NPI 1033677406
-
- Chiropractor
- Tracy, CA
- NPI 1720217409
-
dba Valley Chiropractic Center
- Chiropractor
- Mountain House, CA
- NPI 1508635301
-
dba Valley Chiropractic Center
- Chiropractor
- Manteca, CA
- NPI 1659729051
-
dba Almond Valley Chiropractic
- Chiropractor
- Ripon, CA
- NPI 1265666978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1174701882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 W BEVERLY PL STE 101",
"city": "TRACY",
"state": "CA",
"postal_code": "953763011",
"telephone_number": "209-832-9221",
"fax_number": "209-832-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W BEVERLY PL STE 101",
"city": "TRACY",
"state": "CA",
"postal_code": "953763011",
"telephone_number": "209-832-9221",
"fax_number": "209-832-9297"
}
],
"practiceLocations": [
{
"address_1": "583 Wicklund Crossing Way",
"address_purpose": "LOCATION",
"city": "Mountain House",
"state": "CA",
"postal_code": "953911100",
"country_code": "US",
"telephone_number": "209-836-3597 x2",
"fax_number": "209-834-8119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 N Grant Ave",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953364601",
"country_code": "US",
"telephone_number": "209-825-5610 x3",
"fax_number": "209-982-5402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.