Active NPI
Russell B O'Steen, DC
- Chiropractor
- Houma, LA
National Provider Identifier
1215960182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 880
- Practice address
- 1025 W Tunnel Blvd
Houma, LA 70360-4049 - Phone
- (985) 876-5790
- Fax
- (985) 876-9371
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 | 880 | LA | Primary |
Addresses
Primary practice location
1025 W Tunnel Blvd
Houma, LA 70360-4049
Mailing address
1025 W Tunnel Blvd
Houma, LA 70360-4049
Phone (985) 876-5790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1954357 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070510000369 | LA | Practitioner - Chiropractic | 1951407774 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 880 | LA | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215960182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W TUNNEL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604049",
"telephone_number": "985-876-5790",
"fax_number": "985-876-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W TUNNEL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604049",
"telephone_number": "985-876-5790",
"fax_number": "985-876-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'STEEN",
"first_name": "RUSSELL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1954357",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
- Tara Nolan
- Northland Hearing Centers Inc (Sears Hearing Aid Centers)
- Northland Hearing Centers, Inc. (Audibel Hearing Healthcare)
- Van Thuy Novick
- Gerald Kane O'Bryan, M.D.
- Oaks of Houma Community Care Center LLC (The Oaks of Houma)
- Oase Counseling, Inc.
- June M Oase, LCSW
- Michael Lars Oase, L.C.S.W.
- Patricia Oberli
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.