Individual provider Active NPI

Frank Matthew Russell, D.C.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1932238078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002438 Issued in WA
Practice address
3948B Cleveland Ave SE
Tumwater, WA 98501-4023
Phone
(360) 754-7500
Fax
(360) 754-7584
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002438 WA Primary

Addresses

Primary practice location

3948B Cleveland Ave SE
Tumwater, WA 98501-4023

Mailing address

3948B Cleveland Ave SE
Tumwater, WA 98501-4023
Phone (360) 754-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000508 WA Practitioner - Chiropractic 9638069404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantumcare Chiropractic P SGroup PAC ID 8921998790, 2 clinicians

Practice addresses (Care Compare)

3948 Cleveland Ave SE
Suite B
Tumwater, WA 98501-4023
Phone (360) 754-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002438WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quantumcare Chiropractic PS Chiropractor CurrentSince Jan 7, 2002 Accepting new patients

Locations

3948 Cleveland Ave SE
#B
Tumwater, WA 98501
Phone (360) 754-7500

3948B Cleveland Ave SE
Tumwater, WA 98501
Phone (360) 754-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932238078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948B CLEVELAND AVE SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014023",
            "telephone_number": "360-754-7500",
            "fax_number": "360-754-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948B CLEVELAND AVE SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014023",
            "telephone_number": "360-754-7500",
            "fax_number": "360-754-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "FRANK",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.