Active NPI
Russell Kenneth Hulbert, DC
- Chiropractor
- Centerville, OH
National Provider Identifier
1487981775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4174
- Practice address
- 145 West Franklin Street
Centerville, OH 45459-4701 - Phone
- (937) 396-2230
- Fax
- (937) 396-2235
- NPI assigned
- Nov 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3999 | NC | |
| Chiropractor | 111N00000X | 4174 | OH | Primary |
Addresses
Primary practice location
145 West Franklin Street
Centerville, OH 45459-4701
Mailing address
145 W Franklin St
Centerville, OH 45459-4701
Phone (937) 396-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4174 | OH | MD | Chiropractor |
| 3999 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1487981775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W FRANKLIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594701",
"telephone_number": "937-396-2230",
"fax_number": "937-396-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WEST FRANKLIN STREET",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594701",
"telephone_number": "937-396-2230",
"fax_number": "937-396-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "RUSSELL",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3999",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.