Nicholas Russell, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

30.025455 Issued in OH

Practice address

420 Beecher Rd
Columbus, OH 43230

Phone

(614) 775-0222

NPI assigned

Oct 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1033513296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE UNIT 312",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013771",
            "telephone_number": "614-507-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BEECHER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-775-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Beecher Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43230",
            "country_code": "US",
            "telephone_number": "614-775-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "OH",
            "license": "30.025455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Russell
• Morgan Lea Russell, FNP-C
• Natasha Danielle Russell
• Nathan Lee Russell, MFT-T
• Nathaniel Duane Russell, MD
• Robert James Russell, DMD
• Sarah Andrea Russell, DO
• Tamicka Nashea Russell
• Taylor N Russell
• Timothy Russell

• Dental Anesthesiology in Columbus, OH
• Providers in Columbus, OH by specialty
• Dental Anesthesiology in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.