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DR. RUSSELL E JOHNSON D.C.
NPI 1790990679
Chiropractor in Holbrook, NY

Active since May 13, 2007
1519 GRUNDY AVE, HOLBROOK, NY 11741(631) 588-9806 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Russell E Johnson D.c. NPPES

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

DR. RUSSELL E JOHNSON D.C. (NPI 1790990679) is an individual chiropractor in Holbrook, New York, licensed in New York (X003142) and active in the NPI registry since May 2007. He is a graduate of New York Chiropractic College (1982).

NPPES Registry Identity

NPI1790990679
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RUSSELL E JOHNSONCredential: D.C.
Location Address1519 GRUNDY AVEHolbrook, NY 11741-2106
Mailing Address1519 Grundy AveHolbrook, NY 11741-2106 · (631) 588-9806
Phone(631) 588-9806
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1982
Enumeration DateMay 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790990679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X003142
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.
1519 GRUNDY AVE, Holbrook, NY 11741
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 E Johnson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032173091
PECOS Enrollment IDI20041118000709

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, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
65 services13 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 Russell Johnson's NPI number?

The NPI number for Russell Johnson is 1790990679. It was assigned to this individual provider in the NPPES registry on May 13, 2007.

Where is Russell Johnson located?

Russell Johnson practices at 1519 Grundy Ave, Holbrook, NY 11741. The listed phone number is (631) 588-9806.

What is Russell Johnson's specialty?

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

Is Russell Johnson enrolled in Medicare?

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

What insurance does Russell Johnson accept?

Health plans from Providence Health Plan list Russell Johnson 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 Russell Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.