Active NPI
Russell Thomas Janssen, D.C.
- Chiropractor
- Clearwater, FL
National Provider Identifier
1669653911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004460
- Practice address
- 2519 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4173 - Phone
- (727) 726-8822
- Fax
- (727) 796-9139
- NPI assigned
- Nov 15, 2007
- 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 | CH0004460 | FL | Primary |
Addresses
Primary practice location
2519 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4173
Mailing address
2519 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4159
Phone (727) 726-8822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350005997 | Other | FL | RR MEDICARE |
| 381371100 | Medicaid | FL | |
| T54967 | Other | FL | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2535 Landmark Dr
Suite 213
Clearwater, FL 33761-3930
Phone (727) 726-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0004460 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RTJ DC Inc | Chiropractor | Current | Accepting new patients |
Locations
2519 N McMullen Booth Rd
Ste 201
Clearwater, FL 33761
Phone (727) 726-8822
2535 Landmark Dr
Ste 213
Clearwater, FL 33761
Phone (727) 726-8822
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Clearwater, FL
- NPI 1952382145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1669653911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 N MCMULLEN BOOTH RD",
"address_2": "SUITE 201",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614159",
"telephone_number": "727-726-8822",
"fax_number": "727-796-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 N MCMULLEN BOOTH RD",
"address_2": "SUITE 201",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614173",
"telephone_number": "727-726-8822",
"fax_number": "727-796-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSEN",
"first_name": "RUSSELL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350005997",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381371100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "T54967",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.