Organization Active NPI

Russ Family Chiropractic

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1780844373
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3845 Issued in NC
Legal business name
RUSS FAMILY CHIROPRACTIC
Doing business as
Russ Chiropractic and Wellness Center
Practice address
5710 Oleander Dr
Ste 207
Wilmington, NC 28403-4766
Phone
(910) 395-5066
Fax
(910) 777-2593
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
David Russ, DC
Title
Owner
Phone
(910) 395-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3845 NC Primary

Addresses

Primary practice location

5710 Oleander Dr
Ste 207
Wilmington, NC 28403-4766

Mailing address

5710 Oleander Dr
Ste 207
Wilmington, NC 28403-4766
Phone (910) 395-5066

Other names 1

  • Russ Chiropractic and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

5917 Oleander Dr
Ste 106
Wilmington, NC 28403
Phone (910) 395-5066

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1780844373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR",
            "address_2": "STE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034766",
            "telephone_number": "910-395-5066",
            "fax_number": "910-777-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR",
            "address_2": "STE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034766",
            "telephone_number": "910-395-5066",
            "fax_number": "910-777-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-395-5066",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russ Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.