DR. RUSSELL THOMAS ROSELLE CHIROPRACTOR DC
NPI 1427117415
Chiropractor in Fairfax, VA

Active since December 06, 2006
8500 EXECUTIVE PARK AVENUE, #300, FAIRFAX, VA 22031(703) 698-7117(703) 698-5729 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, May 18, 2017 (2 updates tracked since 2017).

About Dr. Russell Thomas Roselle Chiropractor Dc NPPES

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

DR. RUSSELL THOMAS ROSELLE CHIROPRACTOR DC (NPI 1427117415) is an individual chiropractor in Fairfax, Virginia, licensed in Virginia (0104000223) and active in the NPI registry since December 2006. He is a graduate of National College Of Chiropractic (1977).

NPPES Registry Identity

NPI1427117415
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RUSSELL THOMAS ROSELLECredential: CHIROPRACTOR DC
Location Address8500 EXECUTIVE PARK AVENUE, #300Fairfax, VA 22031-4647
Mailing Address8500 Executive Park Avenue, #300Fairfax, VA 22031-4642 · (703) 698-7117 · Fax (703) 698-5729
Fax(703) 698-5729
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 1977
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1427117415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104000223
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.
8500 EXECUTIVE PARK AVENUE, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russell Thomas Roselle Chiropractor Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456439249
PECOS Enrollment IDI20120509000251

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
152 services19 patients

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
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Chiropractor
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Chiropractor
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Chiropractor
8500 EXECUTIVE PARK AVENUE, 300
FAIRFAX, VA 22031
Chiropractor
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Nutritionist
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Chiropractor
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031
Acupuncturist
8500 EXECUTIVE PARK AVENUE, #300
FAIRFAX, VA 22031

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 Russell Roselle's NPI number?

The NPI number for Russell Roselle is 1427117415. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Russell Roselle located?

Russell Roselle practices at 8500 Executive Park Avenue #300, Fairfax, VA 22031. The listed phone number is (703) 698-7117.

What is Russell Roselle's specialty?

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

Is Russell Roselle enrolled in Medicare?

Yes. Russell Roselle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Roselle was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.