Russ Tannenbaum DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4086 Issued in FL

Legal business name

RUSS TANNENBAUM DC PA

Practice address

4974 W Atlantic Blvd
Margate, FL 33063-5300

Phone

(954) 968-8400

Fax

(954) 388-5937

NPI assigned

Sep 18, 2012

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Hawks

Title

Biller

Phone

(954) 993-4058

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Comprehensive Neurobehavioral Institute PLLC

  • Neurology Physician
  • Plantation, FL
  • NPI 1962716506

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russ Tannenbaum, DC PA

  • Chiropractor
  • Margate, FL
  • NPI 1487727186
  Medicare reassignment NPD

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1265782296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 COLONIAL DRIVE",
            "address_2": "STE 305",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-993-4058",
            "fax_number": "954-916-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635300",
            "telephone_number": "954-968-8400",
            "fax_number": "954-388-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS TANNENBAUM DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "HAWKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "954-993-4058",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FLORIDA",
            "identifier": "88856",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Palm Kids Care
• Royalty Specialty Care LLC
• Jonathan Scott Rubin, M.D.
• Tobe Lynn Rubin, M.D.
• John Pritchett Ruhsam, D.C.
• Jordan Martine Katya Russell
• Rxpress Pharmacy LLC
• Sabas Optical Service Inc. (nationwide optical)
• Eduardo C Sabates, MD
• Helya Sadati, DMD

• Chiropractor in Margate, FL
• Providers in Margate, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.

Verify at the official NPI Registry.