Russell Chiropractic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

KR007665 Issued in MI

Legal business name

RUSSELL CHIROPRACTIC, PLC

Practice address

692 Hannah Ave Ste a
Traverse City, MI 49686-3110

Phone

(231) 947-2228

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Russell, D.C.NPI 1093714222

Title

Owner/Chiropractor

Phone

(231) 947-2228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: krussell@rctc0001.direct.chirotouch.md

Practitioners 3

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

• Kerry Bruce Russell, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Traverse City, MI
  • NPI 1093714222
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Elayne Johnson, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1609112390
  Medicare reassignment Care Compare group NPD
• Stacy Ruhland, DC

  • Chiropractor
  • Traverse City, MI
  • NPI 1831671734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1700044104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 HANNAH AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863110",
            "telephone_number": "231-947-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 HANNAH AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863110",
            "telephone_number": "231-947-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "231-947-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KR007665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank C Rugani, DDS
• Stacy Ruhland, DC
• Gary Stephen Ruoff, D.O.
• Amy Rushlow, PA
• David C Rushlow, LMSW
• Russell Van Houzen, MD, PLC
• Andrea Synnestvedt Russell, LMSW
• Christine A Russell, MSRD
• Erynne Louise Russell
• Jodi K Russell

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.