RENNY RUSSELL DC PC
NPI 1609019587
Chiropractor in Pleasant Valley, MO

Q: What is Renny Russell Dc PC's NPI number?

The NPI number for Renny Russell Dc PC is 1609019587. It was assigned to this organization in the NPPES registry on April 8, 2009. The provider is doing business as Renny Spine & Sport. The provider is also known as Dr. Renny Russell DC.

Q: What is Renny Russell Dc PC's specialty?

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

Active since April 08, 2009

6624 ROYAL ST, PLEASANT VALLEY, MO 64068(816) 824-9690 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Renny Russell Dc Pc NPPES

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

RENNY RUSSELL DC PC (NPI 1609019587), doing business as Renny Spine & Sport, is a healthcare organization registered as a chiropractor in Pleasant Valley, Missouri and active in the NPI registry since April 2009. The organization lists Renny Beau Russell, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1609019587

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameRENNY RUSSELL DC PC

Location Address6624 ROYAL STPleasant Valley, MO 64068-8711

Mailing Address6624 Royal StPleasant Valley, MO 64068-8711 · (816) 824-9690

Phone(816) 824-9690

Organization SubpartNo

Authorized OfficialRenny Beau RussellChiropractor · (816) 824-9690

Enumeration DateApril 8, 2009

Last NPPES UpdateJune 17, 2025

NPPES CertifiedJune 17, 2025

✔ NPI 1609019587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 2008015663

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.

6624 ROYAL ST, Pleasant Valley, MO 64068

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Other Names 2

Doing Business AsRenny Spine & Sport

Other NameDr. Renny Russell Dc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renny Russell Dc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renny Russell Dc PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Renny Russell, DC

Chiropractic

NPI 1003905456

6624 ROYAL ST
Pleasant Valley, MO 64068

(816) 824-9690

✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Renny Russell Dc PC's NPI number?

The NPI number for Renny Russell Dc PC is 1609019587. It was assigned to this organization in the NPPES registry on April 8, 2009. The provider is doing business as Renny Spine & Sport. The provider is also known as Dr. Renny Russell DC.

Where is Renny Russell Dc PC located?

Renny Russell Dc PC is located at 6624 Royal St, Pleasant Valley, MO 64068. The listed phone number is (816) 824-9690.

What is Renny Russell Dc PC's specialty?

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

Is Renny Russell Dc PC enrolled in Medicare?

Yes. Renny Russell Dc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renny Russell Dc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Renny Russell Dc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renny Russell Dc PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Renny Russell Dc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renny Russell Dc PC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.