Russ Corey Chiropractic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1201 Issued in NE

Legal business name

RUSS COREY CHIROPRACTIC PC

Practice address

3714 S 132ND St
Omaha, NE 68144-3608

Phone

(402) 334-1114

Fax

(402) 334-8343

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

Russell CoreyNPI 1306959663

Title

President

Phone

(402) 334-1114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Tax ID family

Russ Corey Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Russ Corey Chiropractic PC

  • Chiropractor
  • Omaha, NE
  • NPI 1265857874
  NPD tax ID

Locations

Practitioners 2

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

• Russell Wayne Corey, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1306959663
  Medicare reassignment Care Compare group NPD Authorized official
• Kolbe Dale Poarch, DC

  • Chiropractor
  • Omaha, NE
  • NPI 1316737596
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1720319551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608",
            "telephone_number": "402-334-1114",
            "fax_number": "402-334-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS COREY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-334-1114"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadyn Ruskamp
• Jordan Lynn Ruskamp, APRN-FNP
• Rachel Marie Ruskamp, APRN
• James David Ruskin, M.D., D.M.D.
• Russ Corey Chiropractic PC
• Antoinette Rae Russ
• Breanna Russ
• Glenn Russ
• Jihada Kay Russ
• Katina Russ

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.