Russell Dorrance Tong, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

950 Issued in OH

Practice address

9913 W State Route 163
Oak Harbor, OH 43449-1532

Phone

(419) 898-2029

Fax

(419) 898-1689

NPI assigned

May 20, 2007

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578771705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 W STATE ROUTE 163",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491532",
            "telephone_number": "419-898-2029",
            "fax_number": "419-898-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 W STATE ROUTE 163",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491532",
            "telephone_number": "419-898-2029",
            "fax_number": "419-898-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "RUSSELL",
        "middle_name": "DORRANCE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0508178",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Oak Harbor, OH
• Providers in Oak Harbor, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.