Active NPI
William Russo, DC
- Chiropractor
- Wakefield, RI
National Provider Identifier
1194536649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00732
- Practice address
- 41 Mautucket Rd
Wakefield, RI 02879-5018 - Phone
- (401) 284-6410
- NPI assigned
- Jan 15, 2025
- Last updated
- Dec 10, 2025
- Sex
- Male
- Sole proprietor
- No
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 | DCP00732 | RI | Primary |
Addresses
Primary practice location
41 Mautucket Rd
Wakefield, RI 02879-5018
Mailing address
41 Mautucket Rd
Wakefield, RI 02879-5018
Phone (401) 284-6410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
903 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7194
Phone (843) 225-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5150 | SC | MD | Social Worker |
| DCP00732 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Chiropractic Associates | Chiropractor | Current | Accepting new patients |
Locations
903 Saint Andrews Blvd
Ste B
Charleston, SC 29407
Phone (843) 225-4357
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
- Charleston, SC
- NPI 1588992093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1194536649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MAUTUCKET RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028795018",
"telephone_number": "401-284-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MAUTUCKET RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028795018",
"telephone_number": "401-284-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-15",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.