JACOB D RUSSELL DC
NPI 1801511019
Chiropractor in Ewa Beach, HI

Q: What is Jacob Russell's NPI number?

The NPI number for Jacob Russell is 1801511019. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Q: What is Jacob Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Russell was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 10, 2022

91-1001 KAIMALIE ST # 106, EWA BEACH, HI 96706(808) 774-7817 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Apr 1, 2026, Oct 10, 2022 (3 updates tracked since 2022).

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About Jacob D Russell Dc NPPES

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

JACOB D RUSSELL DC (NPI 1801511019) is an individual chiropractor in Ewa Beach, Hawaii, licensed in Hawaii (1658) and active in the NPI registry since October 2022. He is a graduate of New York Chiropractic College (2022).

NPPES Registry Identity

NPI1801511019

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJACOB D RUSSELLCredential: DC

Location Address91-1001 KAIMALIE ST # 106Ewa Beach, HI 96706-6247

Mailing Address91-1001 Kaimalie St # 106Ewa Beach, HI 96706-6247 · (808) 774-7817 · Fax (808) 774-7817

Phone(808) 774-7817

Sole ProprietorNo

Medical School CMSNew York Chiropractic CollegeGraduated 2022

Enumeration DateOctober 10, 2022

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1801511019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in HI · 1658

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.

91-1001 KAIMALIE ST # 106, Ewa Beach, HI 96706

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

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

PECOS PAC ID1759757131

PECOS Enrollment IDI20260515002277

Other Providers at the Same Location NPPES

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

DR. CODY JAMES MCKILLIP DC, LAT, ATC

Chiropractor

91-1001 KAIMALIE ST # 106
EWA BEACH, HI 96706

Honolulu County (808) 637-2608

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 Jacob Russell's NPI number?

The NPI number for Jacob Russell is 1801511019. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Jacob Russell located?

Jacob Russell practices at 91-1001 Kaimalie St # 106, Ewa Beach, HI 96706. The listed phone number is (808) 774-7817.

What is Jacob Russell's specialty?

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

Is Jacob Russell enrolled in Medicare?

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

What insurance does Jacob Russell accept?

Health plans from UnitedHealthcare list Jacob Russell 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 Jacob Russell was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.