Active NPI
Russel Myers, D.C.
- Chiropractor
- Pacific Palisades, CA
National Provider Identifier
1710345392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33098
- Practice address
- 16624 Marquez Ave
Pacific Palisades, CA 90272-3233 - Phone
- (310) 230-1899
- NPI assigned
- Feb 10, 2016
- 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 | 33098 | CA | Primary |
Addresses
Primary practice location
16624 Marquez Ave
Pacific Palisades, CA 90272-3233
Mailing address
22633 Town Crier Rd
Calabasas, CA 91302-5731
Phone (818) 631-5618
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33098 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luke S Cohen Professional Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
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
- Pacific Palisades, CA
- NPI 1558650952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1710345392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22633 TOWN CRIER RD",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913025731",
"telephone_number": "818-631-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16624 MARQUEZ AVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723233",
"telephone_number": "310-230-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "RUSSEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.