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DR. TY D RUSSELL D.C.
NPI 1487961322
Chiropractor in Gravette, AR

Active since September 13, 2010Accepts Medicare Assignment
207 ATLANTA STREET S.E., GRAVETTE, AR 72736(479) 787-7555(479) 787-7444 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ty D Russell D.c. NPPES

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

DR. TY D RUSSELL D.C. (NPI 1487961322) is an individual chiropractor in Gravette, Arkansas, licensed in Arkansas (15,726) and active in the NPI registry since September 2010. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1487961322
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TY D RUSSELLCredential: D.C.
Location Address207 ATLANTA STREET S.E.Gravette, AR 72736
Mailing Address207 Atlanta Street S.e.Gravette, AR 72736 · (479) 787-7555 · Fax (479) 787-7444
Phone(479) 787-7555
Fax(479) 787-7444
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 13, 2010
Last NPPES UpdateSeptember 17, 2014
✔ NPI 1487961322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 15,726
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.
207 ATLANTA STREET S.E., Gravette, AR 72736
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ty D Russell D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143118026
PECOS Enrollment IDI20110714000601

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.
522 services108 patients

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 Ty Russell's NPI number?

The NPI number for Ty Russell is 1487961322. It was assigned to this individual provider in the NPPES registry on September 13, 2010.

Where is Ty Russell located?

Ty Russell practices at 207 Atlanta Street S.E., Gravette, AR 72736. The listed phone number is (479) 787-7555.

What is Ty Russell's specialty?

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

Is Ty Russell enrolled in Medicare?

Yes. Ty Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ty Russell was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.