Brian Kona Russell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01304 Issued in NV

Practice address

604 E Musser St
Carson City, NV 89701-4200

Phone

(775) 882-3555

Fax

(775) 882-3588

NPI assigned

Jan 26, 2007

Last updated

Sep 28, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kona Chiropractic LLC

  • Chiropractor
  • Carson City, NV
  • NPI 1871355677
  Authorized official Same address or phone

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1487700985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E MUSSER ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014200",
            "telephone_number": "775-882-3555",
            "fax_number": "775-882-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E MUSSER ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014200",
            "telephone_number": "775-882-3555",
            "fax_number": "775-882-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRIAN",
        "middle_name": "KONA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Duane Runyan Jr., PH.D.
• Mikka Runyon, COTA/L
• Michael Rupert
• Bryan Rush, BA
• Christine L Rushing, RN
• Carissa Russell, LMSW, CSW-I, M.ED.
• Ruth Gale Russell, LMSW
• Sara Russell
• Sarah J Russell, LCSW
• Steven Russell

• Chiropractor in Carson City, NV
• Providers in Carson City, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.