Organization Active NPI

Russell Elba D.C.P.a

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1356602031
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006180 Issued in FL
Legal business name
RUSSELL ELBA D.C.P.A
Practice address
5810 Stirling Rd
Hollywood, FL 33021-1527
Phone
(954) 961-2245
Fax
(954) 961-3344
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Russell Todd Elba
Title
Chiropractor
Phone
(954) 961-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006180 FL Primary

Addresses

Primary practice location

5810 Stirling Rd
Hollywood, FL 33021-1527

Mailing address

5810 Stirling Rd
Hollywood, FL 33021-1527
Phone (954) 961-2245

Other names 1

  • Russell Elba D.C.P.A Other name

National Provider Directory

National Provider Directory

Locations

5810 Stirling Rd
Hollywood, FL 33021
Phone (954) 961-2245

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1356602031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "954-961-2245",
            "fax_number": "954-961-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211527",
            "telephone_number": "954-961-2245",
            "fax_number": "954-961-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL ELBA D.C.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "ELBA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-961-2245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Elba D.C.P.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.