Individual provider Active NPI

Russell Franklin Lamielle, DDS

  • General Practice Dentistry
  • Massillon, OH
National Provider Identifier
1023017779
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21028 Issued in OH
Practice address
7265 Portage St NW
Suite a
Massillon, OH 44646-7826
Phone
(330) 498-9730
Fax
(330) 498-9753
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21028 OH Primary

Addresses

Primary practice location

7265 Portage St NW
Suite a
Massillon, OH 44646-7826

Mailing address

7265 Portage St NW
Suite a
Massillon, OH 44646-7826
Phone (330) 498-9730

Other identifiers 2

IdentifierTypeStateIssuer
2220706MedicaidOH
030446553030MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002748 OH Order and Referring Only - DentistPractitioner - Dentist 1456640101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21028OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Dental Group of Bach Lamielle and Stanich DDS LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023017779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 PORTAGE ST NW",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-498-9730",
            "fax_number": "330-498-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 PORTAGE ST NW",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-498-9730",
            "fax_number": "330-498-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIELLE",
        "first_name": "RUSSELL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220706",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030446553030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.