Russell and Ross Chiropractic Centre

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24580 Issued in CA

Legal business name

RUSSELL AND ROSS CHIROPRACTIC CENTRE

Doing business as

Chiropractic Health Centre
Lighthouse Wellness Center

Practice address

755 Sunrise Ave
Suite 115
Roseville, CA 95661-4500

Phone

(916) 786-6055

Fax

(916) 786-6452

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allan S. Ross, D.C.NPI 1801994975

Title

President

Phone

(916) 786-6055

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Chiropractic Health Centre Doing business as
• Lighthouse Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Sutherland Ross, D.C.

  • Occupational Health Chiropractor
  • Roseville, CA
  • NPI 1801994975
  Medicare reassignment Care Compare group Authorized official
• Shanna Elizabeth Saenz, DC

  • Chiropractor
  • Roseville, CA
  • NPI 1952987794
  Medicare reassignment Care Compare group NPD
• Trisha Marie Wimbs, D.C.

  • Chiropractor
  • Roseville, CA
  • NPI 1457655409
  Medicare reassignment NPD
• Megan Elisabeth Forester, CMT

  • Massage Therapist
  • Roseville, CA
  • NPI 1477427904
  NPD
• Ashton Ballard, MT

  • Massage Therapist
  • Roseville, CA
  • NPI 1023394715
  NPD (past)
• Katherine Drake, D.C.

  • Chiropractor
  • Roseville, CA
  • NPI 1629388954
  NPD (past)
• Yong Jun, DOM

  • Acupuncturist
  • Citrus Heights, CA
  • NPI 1790133635
  NPD (past)
• Seungman Yu

  • Acupuncturist
  • Roseville, CA
  • NPI 1083018402
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1740484443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "SUITE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "SUITE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL AND ROSS CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-786-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P-00059778",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Jasmin Crystal Ruiz
• Irielle Angelic Ruiz
• Daniel Rule
• Kristina Elizabeth Rupp, MSW, ACSW
• Bethany Rushton, SLP-CCC
• Hannah E Russell-Goodson, RN, CNM, WHNP-BC
• Daniel Brian Russell, RRT
• Nidia Russi
• Emiliya Russu, OTR/L
• Katharine H Rutherford, MD

• Chiropractor in Roseville, CA
• Providers in Roseville, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.