NPIMap

Organization Active NPI

Russell Chiropractic & Acupuncture, Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1285145177
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29891 Issued in CA
Legal business name
RUSSELL CHIROPRACTIC & ACUPUNCTURE, INC
Practice address
10793 Tierrasanta Blvd Ste a
San Diego, CA 92124-2629
Phone
(858) 573-1505
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Chantal Russell, DCNPI 1407981079
Title
President/ Chiropractor
Phone
(858) 573-1505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29891 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC11156 CA

Addresses

Primary practice location

10793 Tierrasanta Blvd Ste a
San Diego, CA 92124-2629

Mailing address

10793 Tierrasanta Blvd Ste a
San Diego, CA 92124-2629

National Provider Directory

National Provider Directory

Locations

10793 Tierrasanta Blvd
Ste A
San Diego, CA 92124
Phone (858) 573-1505

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1285145177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10793 TIERRASANTA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10793 TIERRASANTA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242629",
            "telephone_number": "858-573-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CHIROPRACTIC & ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "PRESIDENT/ CHIROPRACTOR",
        "authorized_official_telephone_number": "858-573-1505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29891",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.