Russo Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1421 Issued in LA

Legal business name

RUSSO CHIROPRACTIC CLINIC

Practice address

4033 Veterans Memorial Blvd Ste D
Metairie, LA 70002-5525

Phone

(504) 407-0896

Fax

(504) 324-5618

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Ahlert Russo Jr., D.C.NPI 1174695613

Title

Chiropractor

Phone

(504) 289-6981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Ahlert Russo Jr., DC.

  • Chiropractor
  • Metairie, LA
  • NPI 1174695613
  Medicare reassignment Authorized official
• David Christopher Edwards, D.C.

  • Chiropractor
  • Metairie, LA
  • NPI 1083750400
  NPD
• Sean M Lamy, D.C.

  • Chiropractor
  • Metairie, LA
  • NPI 1952533184
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1306918859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 VETERANS MEMORIAL BLVD STE D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025525",
            "telephone_number": "504-407-0896",
            "fax_number": "504-324-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 VETERANS MEMORIAL BLVD STE D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025525",
            "telephone_number": "504-407-0896",
            "fax_number": "504-324-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSO CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "AHLERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "504-289-6981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiata Russell-Lizarraga
• Aris Russell
• Keyota Andrea Russell
• Ron' Jana Russell
• Stillwell Russell Jr.
• Angelo Russo, MD
• Courtney L Russo, M.D.
• Dennis Ahlert Russo Jr., DC.
• Sara Russo
• Jay Carson Rutz, D.M.D., M.S.

• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.