JASON D RUSSELL DC
NPI 1215113089
Chiropractor in Fort Wayne, IN

Active since January 11, 2008
1114 W COOK RD, FORT WAYNE, IN 46825(260) 483-5588(260) 489-1819 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason D Russell Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON D RUSSELL DC (NPI 1215113089) is an individual chiropractor in Fort Wayne, Indiana, licensed in Indiana (08002372A) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1215113089
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJASON D RUSSELLCredential: DC
Location Address1114 W COOK RDFort Wayne, IN 46825-3214
Mailing Address2520 Lincroft DrFort Wayne, IN 46845-1916
Fax(260) 489-1819
Sole ProprietorNo
Enumeration DateJanuary 11, 2008
NPI 1215113089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IN · 08002372A
Definition
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.
1114 W COOK RD, Fort Wayne, IN 46825

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor (Pediatric Chiropractor)
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825
Chiropractor
1114 W COOK RD
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Russell's NPI number?

The NPI number for Jason Russell is 1215113089. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Jason Russell located?

Jason Russell practices at 1114 W Cook Rd, Fort Wayne, IN 46825. The listed phone number is (260) 483-5588.

What is Jason Russell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jason Russell was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.