Aaron Russak PC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1299 Issued in TN

Legal business name

AARON RUSSAK PC INC

Practice address

1409 Chestnut St
Chattanooga, TN 37402-4420

Phone

(423) 757-9511

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Walter Russak, D.C.

Title

President

Phone

(423) 757-9511

Specialties & licenses 1

Addresses

Other names 1

• Innovative Chiropractic Solutions Doing business as

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1285874941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CHESTNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024420",
            "telephone_number": "423-757-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CHESTNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024420",
            "telephone_number": "423-757-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON RUSSAK PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "RUSSAK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-757-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Chiropractic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Chattanooga, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.