Russell C Hubler, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2113 Issued in MA

Practice address

3 Main St Unit 2
Eastham, MA 02642-2169

Phone

(508) 744-3648

Fax

(508) 744-3649

NPI assigned

Apr 30, 2007

Last updated

Aug 25, 2014By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1396965406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAIN ST UNIT 2",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026422169",
            "telephone_number": "508-744-3648",
            "fax_number": "508-744-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST UNIT 2",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026422169",
            "telephone_number": "508-744-3648",
            "fax_number": "508-744-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLER",
        "first_name": "RUSSELL",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y36492",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "351951",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110030509A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ACN GRO",
            "identifier": "704353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Watson (Individual)
• Jacob Ferreira
• Ned Hitchcock II, MS, LMHC
• Catherine S Hoell, PT, MS, OCS
• Susan Houle, MSW
• Emily Hyatt
• Kathleen Sullivan Kalill, PH.D.
• Wendy Katz
• Tracy Lamperti, LMHC
• Jeanmarie Lee, CNA

• Chiropractor in Eastham, MA
• Providers in Eastham, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.