Russell Ronald Kershen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6700 Issued in TX

Practice address

1701 5TH Ave
Canyon, TX 79015-3834

Phone

(806) 655-8777

Fax

(806) 655-8790

NPI assigned

Nov 9, 2007

Last updated

Jun 11, 2010By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kershen Chiropractic PA

  • Chiropractor
  • Canyon, TX
  • NPI 1639281496
  Authorized official Same address or phone
• Kershen Health Services

  • Chiropractor
  • Canyon, TX
  • NPI 1760931497
  NPD (past) Authorized official
• West Texas Regenerative Medicine Clinic

  • Physical Medicine & Rehabilitation Physician
  • Canyon, TX
  • NPI 1750654984

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1295915049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 5TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153834",
            "telephone_number": "806-655-8777",
            "fax_number": "806-655-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 5TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153834",
            "telephone_number": "806-655-8777",
            "fax_number": "806-655-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHEN",
        "first_name": "RUSSELL",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00059871",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ757",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001855801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Kasper, MA, ATC, LAT, DN-1
• Dawn Rhea Kear, MS., CCC-SLP
• Melani Kelly, ATC, LAT
• Kershen Chiropractic PA
• Kershen Health Services
• Kevin E Raef, DC, PA (Raef Chiropractic Clinic)
• Aubrey Beth Kinross, FNP-C
• Karen Elizabeth Knapp, RN, FNP
• Kaytlin Krutsch, PHARMD
• Jennifer Michelle Lale, RN

• Chiropractor in Canyon, TX
• Providers in Canyon, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.