Individual provider Active NPI

Russell Jack Lewandowski, D.C.

  • Chiropractor
  • Lecanto, FL
National Provider Identifier
1295717072
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6678 Issued in FL
Practice address
2800 W. Gulf to Lake Hwy.
Lecanto, FL 34461-9205
Phone
(352) 726-0888
Fax
(352) 795-8911
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6678 FL Primary

Addresses

Primary practice location

2800 W. Gulf to Lake Hwy.
Lecanto, FL 34461-9205

Mailing address

741 N. Country Club Dr.
Crystal River, FL 34429-5405
Phone (352) 726-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000753 FL Practitioner - Chiropractic 1759417058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2800 W Gulf to Lake Hwy
Lecanto, FL 34461-9205
Phone (352) 726-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Chiropractic PA Chiropractor CurrentSince Sep 3, 2013 Accepting new patients
Russell Chiropractic & Wellness Center, Inc. Chiropractor CurrentSince Dec 30, 2018 Accepting new patients

Locations

6166 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 795-8660

3348 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 228-4088

2800 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 726-0888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1295717072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N. COUNTRY CLUB DR.",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295405",
            "telephone_number": "352-726-0888",
            "fax_number": "352-795-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W. GULF TO LAKE HWY.",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619205",
            "telephone_number": "352-726-0888",
            "fax_number": "352-795-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "RUSSELL",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.