ROGER ALAN RUSSELL (NPI# 1912987397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912987397 |
| Entity Type | Individual |
| Full Name | ROGER ALAN RUSSELL |
| Credential | DC |
| Practice Address |
715 Mall Ring Circle Suite 205 Henderson NV 89014 |
| Practice Telephone | 7029902225 |
| Practice Fax Number | 7029907711 |
| Mailing Telephone | 7029902225 |
| Mailing Fax Number | 7029907711 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | B00457 | NV | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093909434 | Roger T Russell | Dentist | 1956 Berkeley St, Salt Lake City, UT 84108-3202 | 2007-08-29 |
| 1871576439 | Roger Jay Russell | Physical Therapist | 124 Stone St, Walla Walla, WA 99362-4169 | 2005-11-28 |
| 1598746406 | Roger Keith Russell | Anesthesiology | 243 Charles Street, Meei Dept of Anesthesiology Suite 712, Boston, MA 02114 | 2005-11-08 |
| 1396746947 | Roger A Russell | Psychologist | 1049 N 3rd St, Ste 505, Abilene, TX 79601-5833 | 2005-08-04 |
| 1588668529 | Roger Bivins Russell | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| Street Address |
715 MALL RING CIRCLE SUITE 205 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295774263 | Advanced Spine & Rehabilitation LLC | Chiropractor | 715 Mall Ring Circle, #205, Henderson, NV 89014-6667 | 2006-06-05 |
| 1073581120 | Troy D Russell | Chiropractor | 715 Mall Ring Circle, #205, Henderson, NV 89014 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| 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 |
|---|---|---|---|---|
| 1316569197 | Kason Belnap | Chiropractor | 1450 W Horizon Ridge Pkwy Ste A501, Henderson, NV 89012-4478 | 2020-05-14 |
| 1730716408 | Attivo Wellness LLC | Chiropractor | 1357 Dunford Ct, Henderson, NV 89012-4897 | 2020-03-24 |
| 1013564012 | Moody Chiropractic LLC | Chiropractor | 2654 W Horizon Ridge Pkwy Ste B1, Henderson, NV 89052-2863 | 2019-08-23 |
| 1760949358 | Brian Lee Day | Chiropractor | 1489 W Warm Springs Rd Ste 125, Henderson, NV 89014-7637 | 2019-03-01 |
| 1477026243 | Golan Integrated Physical Medicine, P.C. | Chiropractor | 321 N Pecos Rd Ste 200, Henderson, NV 89074-1348 | 2019-01-04 |
| 1730604760 | Kyle Buth | Chiropractor | 10909 S Eastern Ave, Henderson, NV 89052-5864 | 2017-08-10 |
| 1588035760 | Kelsie M Buth | Chiropractor | 8935 S Pecos Rd Ste 21b, Henderson, NV 89074-7155 | 2015-10-13 |
| 1922429430 | Kretz Chiropractic LLC | Chiropractor | 936 N Main, Henderson, NE 68371 | 2013-12-31 |
| 1467880963 | On The River Chiropractic Psc | Chiropractor | 2869 Us Highway 41 N, Henderson, KY 42420-2048 | 2013-10-18 |
| 1861735755 | Lifeclinic Chiropractic of Nevada LLC | Chiropractor | 121 Carnegie Street, Henderson, NV 89052-7118 | 2013-03-29 |
| Find all providers in HENDERSON | ||||
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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.