Organization Active NPI

RTJ DC Inc

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1952382145
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004460 Issued in FL
Legal business name
RTJ DC INC
Doing business as
Dr. Russell Janssen
Practice address
2519 McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4159
Phone
(727) 726-8822
Fax
(727) 796-9139
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Russell Janssen, DCNPI 1669653911
Title
President
Phone
(727) 726-8822

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 CH0004460 FL Primary

Addresses

Primary practice location

2519 McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4159

Mailing address

2519 McMullen Booth Rd
Suite 201
Clearwater, FL 33761-4159
Phone (727) 726-8822

Other identifiers 2

IdentifierTypeStateIssuer
350005997OtherFLRR MEDICARE
381371100MedicaidFL

Other names 1

  • Dr. Russell Janssen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000435 FL Part B Supplier - Clinic/Group Practice 0446333025 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

2535 Landmark Dr
Ste 213
Clearwater, FL 33761
Phone (727) 726-8822

2519 N McMullen Booth Rd
Ste 201
Clearwater, FL 33761
Phone (727) 726-8822

Practitioners & affiliated clinicians

Practitioners 1

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": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1952382145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 MCMULLEN BOOTH RD",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614159",
            "telephone_number": "727-726-8822",
            "fax_number": "727-796-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 MCMULLEN BOOTH RD",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614159",
            "telephone_number": "727-726-8822",
            "fax_number": "727-796-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTJ DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-726-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350005997",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381371100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Russell Janssen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.