Ryan J Russell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002880A Issued in IN

Practice address

406 E South Blvd
Crawfordsville, IN 47933-3762

Phone

(765) 362-1111

Fax

(765) 362-2609

NPI assigned

Feb 1, 2016

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Larry J Russell IncGroup PAC ID 8820237845, 3 clinicians

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.

• Dr Larry J Russell Inc

  • Clinic/Center
  • Crawfordsville, IN
  • NPI 1225388044
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1265890669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E SOUTH BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333762",
            "telephone_number": "765-362-1111",
            "fax_number": "765-362-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E SOUTH BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333762",
            "telephone_number": "765-362-1111",
            "fax_number": "765-362-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002880A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jo Roy, M.S.W., L.C.S.W.
• Steven K Ruff, DDS
• Teresa Ruiz, MD
• Madelynne Grace Runyon, MSAT, LAT, ATC
• Larry J Russell, DC
• Nikki Ryan
• Ryse Autism and Education Center
• Nibal Saad, M.D.
• Krystle Sanabria, RBT
• Marjie Sandusky, RBT

• Chiropractor in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.