CHARLES R RUSSELL (NPI# 1043569940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043569940 |
| Entity Type | Individual |
| Full Name | CHARLES R RUSSELL |
| Credential | DC |
| Practice Address |
3555 Clares St Suite Ww Capitola CA 95010-2555 |
| Practice Telephone | 8314599990 |
| Practice Fax Number | 8314751802 |
| Mailing Telephone | 8314599990 |
| Mailing Fax Number | 8314751802 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14217 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1306336847 | Charles R Russell | Behavior Technician | 4520 S Huron St, Englewood, CO 80110-5636 | 2018-05-10 |
| 1245220912 | Charles E Russell | 579 Rustic Trl, Beavercreek, OH 45434-7337 | 2005-10-25 | |
| 1548264328 | Charles Mark Russell | Dentist | 163 Beech St, Harrogate, TN 37752-8208 | 2005-06-09 |
| 1457833626 | Charles William Russell | Psychologist | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2018-09-04 |
| 1922539857 | Charles Rayfield Russell IIi | General Practice | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2017-03-22 |
| 1568724003 | Charles Joseph Russell | Counselor | 315 N Lakemont Ave, Winter Park, FL 32792-3205 | 2012-06-11 |
| 1841404159 | Charles Edward Russell | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2007-05-09 |
| 1366575185 | Charles Russell | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-03-13 |
| 1386669356 | Charles A Russell | Specialist | 2820 Griffin Ave Ste 210, Enumclaw, WA 98022-2373 | 2006-07-12 |
| Street Address |
3555 CLARES ST SUITE WW |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093876500 | Martin C. Davis | Chiropractor | 3555 Clares St, Suite Ww, Capitola, CA 95010-2555 | 2006-12-12 |
| 1710391214 | Krista Marie Aron | Chiropractor | 3555 Clares St, Suite Ww, Capitola, CA 95010-2555 | 2014-06-12 |
| 1093055238 | Ford Scott Takaichi | Technician/Technologist | 3555 Clares St, Suite H, Capitola, CA 95010-2555 | 2013-02-25 |
| 1578862132 | Visioncare of California | Optometrist | 3555 Clares St, Capitola, CA 95010-2555 | 2011-03-22 |
| 1447495692 | Duncan M. Mccollum D.c. A Chiropractic Corporation | Chiropractor | 3555 Clares St, Suite Ww, Capitola, CA 95010-2556 | 2008-12-02 |
| 1194844837 | Site for Sore Eyes | Technician/Technologist | 3555 Clares St, Ste H, Capitola, CA 95010-2555 | 2007-03-27 |
| 1013047430 | Duncan M Mccollum | Chiropractor | 3555 Clares St, Suite Ww, Capitola, CA 95010-2556 | 2007-03-06 |
| 1902945629 | Lucy H Do | Optometrist | 3555 Clares St, Suite H, Capitola, CA 95010-2555 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1649493685 | Richard Allen Weinstein | Chiropractor | 523 Capitola Avenue, Capitola, CA 95010-2759 | 2007-04-10 |
| 1770608713 | Julia Louise Esterly | Chiropractor | 1595 38th Ave, Capitola, CA 95010-2901 | 2007-03-20 |
| 1588726350 | Arthur Simon Faygenholtz | Chiropractor | 831 Bay Ave Ste 1b, Capitola, CA 95010-2105 | 2006-12-15 |
| 1093876500 | Martin C. Davis | Chiropractor | 3555 Clares St, Suite Ww, Capitola, CA 95010-2555 | 2006-12-12 |
| 1013075340 | Juliano Callaci | Chiropractor | 716 Capitola Ave Ste A, Capitola, CA 95010-2777 | 2006-12-06 |
| 1396759049 | Anne Margaret Stephanson | Chiropractor | 1220 41st Ave, Suite I, Capitola, CA 95010-3933 | 2006-07-28 |
| 1821054545 | Erin Jean Padilla | Chiropractor | 4895 Capitola Rd, Capitola, CA 95010-3810 | 2006-04-21 |
| 1033102793 | Schlenger Chiropractic Corporation | Chiropractor | 831 Bay Ave, Capitola, CA 95010-2105 | 2005-08-29 |
| 1316304009 | Aaron Van Brunt | Chiropractor | 1220 41st Ave, Ste I, Capitola, CA 95010 | 2016-01-26 |
| Find all providers in CAPITOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.