Active NPI
David M Russ, DC
- Chiropractor
- Wilmington, NC
National Provider Identifier
1508026196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3845
- Practice address
- 5710 Oleander Dr
Suite 207
Wilmington, NC 28403-4766 - Phone
- (910) 395-5066
- Fax
- (910) 777-2593
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3845 | NC | Primary |
Addresses
Primary practice location
5710 Oleander Dr
Suite 207
Wilmington, NC 28403-4766
Mailing address
5710 Oleander Dr
Suite 207
Wilmington, NC 28403-4766
Phone (910) 395-5066
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3845 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1508026196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR",
"address_2": "SUITE 207",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034766",
"telephone_number": "910-395-5066",
"fax_number": "910-777-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR",
"address_2": "SUITE 207",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034766",
"telephone_number": "910-395-5066",
"fax_number": "910-777-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "DAVID",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.