Dr. Russell Jeriah Prentice , DC
Chiropractor • Jenks, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russell Prentice has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Russell Prentice, DC was a registered Chiropractor practicing in Jenks, OK. Throughout an active medical career spanning 1 years, Dr. Prentice provided care at the practice location at 9428 S ELWOOD AVE until profile deactivation on 2006-12-29.
Practice Location & Contact Primary Location
9428 S Elwood Ave
Suite 102
Jenks, OK 740372317
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Jenks, OK
Practicing in Jenks, OK (1065 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
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Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 9428 S ELWOOD AVE, SUITE 102, JENKS, OK 740372317 (Tel: 9182960525)
Registered at 9428 S ELWOOD AVE, SUITE 102, JENKS, OK 740372317 (Tel: 9182960525)
Recorded as RUSSELL PRENTICE, DC
Chiropractor (License #3725 in OK)
Record officially reactivated for active practice on January 04, 2007
Record deactivated on December 29, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9428 S Elwood Ave, Suite 102
Jenks, OK 740372317
Phone: 9182960525
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