Organization Active NPI

Russell Chiropractic, Inc

  • Chiropractor
  • Marysville, CA
National Provider Identifier
1609963867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26585 Issued in CA
Legal business name
RUSSELL CHIROPRACTIC, INC
Practice address
905 G St
Suite G
Marysville, CA 95901-5121
Phone
(530) 749-2225
Fax
(530) 479-2229
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig Steven Russell, D.C.NPI 1376613661
Title
President
Phone
(530) 749-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26585 CA Primary

Addresses

Primary practice location

905 G St
Suite G
Marysville, CA 95901-5121

Mailing address

905 G St
Suite G
Marysville, CA 95901-5121
Phone (530) 749-2225

Other names 1

  • Russell Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000202 CA Part B Supplier - Clinic/Group Practice 0446422711 Receives reassigned benefits from 1 practitioner
Practice locations: Marysville, CA

National Provider Directory

National Provider Directory

Locations

905 G St
Ste G
Marysville, CA 95901
Phone (530) 749-2225

905 G St
Marysville, CA 95901
Phone (530) 749-2225

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609963867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 G ST",
            "address_2": "SUITE G",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015121",
            "telephone_number": "530-749-2225",
            "fax_number": "530-479-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 G ST",
            "address_2": "SUITE G",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015121",
            "telephone_number": "530-749-2225",
            "fax_number": "530-479-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-749-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.