Individual provider Active NPI

Stuart William Russell, D.C.

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1639343841
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14218 Issued in CA
Practice address
9108 Laguna Main St Ste 1a
Elk Grove, CA 95758-7450
Phone
(916) 691-9500
Fax
(916) 691-9503
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14218 CA Primary
Chiropractor 111N00000X 1635 OR

Addresses

Primary practice location

9108 Laguna Main St Ste 1a
Elk Grove, CA 95758-7450

Mailing address

7210 Novato CT
Elk Grove, CA 95757-3462
Phone (916) 217-0906

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

LicenseStateTypeSpecialty
1635ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Volpert Chiropractic, P.C. Chiropractor Past Accepting new patients
Hightower Chiropractic and Integrated Health of Sacramento, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1639343841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 NOVATO CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573462",
            "telephone_number": "916-217-0906",
            "fax_number": "916-691-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 LAGUNA MAIN ST STE 1A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587450",
            "telephone_number": "916-691-9500",
            "fax_number": "916-691-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STUART",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14218",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.