Renny Russell DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2008015663 Issued in MO

Legal business name

RENNY RUSSELL DC PC

Doing business as

Renny Spine & Sport

Practice address

6624 Royal St
Pleasant Valley, MO 64068-8711

Phone

(816) 824-9690

NPI assigned

Apr 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renny Beau Russell, DCNPI 1003905456

Title

Chiropractor

Phone

(816) 824-9690

Specialties & licenses 1

Addresses

Other names 2

• Renny Spine & Sport Doing business as
• Dr. Renny Russell DC Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renny Beau Russell, DC

  • Chiropractor
  • Pleasant Valley, MO
  • NPI 1003905456
  Medicare reassignment NPD Authorized official
• Sean Matthew Dunivent, D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1619026275
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1609019587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 ROYAL ST",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640688711",
            "telephone_number": "816-824-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 ROYAL ST",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640688711",
            "telephone_number": "816-824-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNY RUSSELL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RENNY",
        "authorized_official_middle_name": "BEAU",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-824-9690",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008015663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renny Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Renny Russell DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Kays
• Jody Marie Murphy
• Daja Marie Neal, OTD
• Northland Pediatric Physical Therapy, LLC
• Amber Teel Olson, LPC
• Christina Richmond, M.S. CCC-SLP
• Christina Kay Rohlfs, M. ED. & M. S.
• Andrea Ruse, PLPC
• Renny Beau Russell, DC
• Jada Sanders, RBT

• Chiropractor in Pleasant Valley, MO
• Providers in Pleasant Valley, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.