Individual provider Active NPI

Russell Patrick Fitton III, DDS

  • General Practice Dentistry
  • Barrington, IL
National Provider Identifier
1083651582
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19-17609 Issued in IL
Practice address
820 S Northwest Hwy
Barrington, IL 60010-4622
Phone
(847) 381-3927
Fax
(847) 381-4575
NPI assigned
Jun 1, 2006
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 19-17609 IL Primary

Addresses

Primary practice location

820 S Northwest Hwy
Barrington, IL 60010-4622

Mailing address

820 S Northwest Hwy
Barrington, IL 60010-4622
Phone (847) 381-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140527001124 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193948859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19-17609ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
King's Dental & Implant Service LLC General Practice Past Accepting new patients
Kings Dental Health Services Past Accepting new patients

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083651582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104622",
            "telephone_number": "847-381-3927",
            "fax_number": "847-381-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104622",
            "telephone_number": "847-381-3927",
            "fax_number": "847-381-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTON",
        "first_name": "RUSSELL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-17609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.