Active NPI
John Allen Russ, DDS
- Dentist
- Batchelor, LA
National Provider Identifier
1043877889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7028
- Practice address
- 6450 La Highway 1
Batchelor, LA 70715-3212 - Phone
- (225) 637-3535
- NPI assigned
- May 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7028 | LA | Primary |
Addresses
Primary practice location
6450 La Highway 1
Batchelor, LA 70715-3212
Mailing address
6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 492-3775
Other practice location 1
8387 Newfield Dr
Livonia, LA 70755-3605
Phone (225) 412-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7028 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567814400000",
"number": "1043877889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 LA HIGHWAY 1",
"city": "BATCHELOR",
"state": "LA",
"postal_code": "707153212",
"telephone_number": "225-492-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 LA HIGHWAY 1",
"city": "BATCHELOR",
"state": "LA",
"postal_code": "707153212",
"telephone_number": "225-637-3535"
}
],
"practiceLocations": [
{
"address_1": "8387 Newfield Dr",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "LA",
"postal_code": "707553605",
"country_code": "US",
"telephone_number": "225-412-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSS",
"first_name": "JOHN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batchelor, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.