Active NPI
Russell Chiropractic & Acupuncture, Inc
- Chiropractor
- San Diego, CA
National Provider Identifier
1285145177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29891
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chantal Russell, DC
- Title
- President/ Chiropractor
- Phone
- (858) 573-1505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29891 | CA | Primary |
| Acupuncturist | 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 DirectoryLocations
10793 Tierrasanta Blvd
Ste A
San Diego, CA 92124
Phone (858) 573-1505
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- San Diego, CA
- NPI 1942371083
-
- Chiropractor
- San Diego, CA
- NPI 1083751101
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.