Russell P Mayer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3435 Issued in LA

Practice address

910 W Thomas St
Hammond, LA 70401-3038

Phone

(985) 345-2285

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cfda

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1992394480
  NPD (past)
• Concord Family Dental

  • Dentist
  • Hammond, LA
  • NPI 1740897404
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043286891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 PINE CREST DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704018227",
            "telephone_number": "985-345-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013038",
            "telephone_number": "985-345-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "RUSSELL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Rena Matthews
• Maxem Health Urgent Care Hammond
• Martha Lewis Maxwell, CRNA
• Delasta Jamir May
• Emilee Mayeaux
• Lori H Mayers, N.P.
• Charles Louis Mayeux, LCSW
• Kearies Latoria Mays
• Shane Mays, DO
• Tori Maziel

• General Practice Dentistry in Hammond, LA
• Providers in Hammond, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.