NPIMap

Organization Active NPI

Russell Family Clinic, LLC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1811281975
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6198 Issued in CO
Legal business name
RUSSELL FAMILY CLINIC, LLC
Practice address
200 S Mason St
Fort Collins, CO 80524-2813
Phone
(970) 482-2053
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Joshua Russell, D.C.NPI 1497932941
Title
President
Phone
(970) 482-2053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6198 CO Primary

Addresses

Primary practice location

200 S Mason St
Fort Collins, CO 80524-2813

Mailing address

200 S Mason St
Fort Collins, CO 80524-2813

National Provider Directory

National Provider Directory

Locations

1027 Robertson St
Fort Collins, CO 80524
Phone (970) 482-2053

200 S Mason St
Fort Collins, CO 80524
Phone (970) 482-2053

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1811281975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MASON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MASON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242813",
            "telephone_number": "970-482-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-482-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.