Active NPI
RTJ DC Inc
- Chiropractor
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell Janssen, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350005997 | Other | FL | RR MEDICARE |
| 381371100 | Medicaid | FL |
Other names 1
- Dr. Russell Janssen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Clearwater, FL
- NPI 1669653911
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.