Russell DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009670 Issued in WA

Legal business name

RUSSELL DDS PC

Practice address

930 Park Ave
Bremerton, WA 98337-1551

Phone

(360) 377-7621

Fax

(360) 377-6265

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Gregory Russell, DDS

Title

Doctor/Owner

Phone

(360) 377-7621

Specialties & licenses 1

Addresses

Other names 1

• Bremerton Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ripp Cristel, DDS

  • General Practice Dentistry
  • Bremerton, WA
  • NPI 1891272720
  NPD (past)
• Keith Rey Redd, DDS

  • Dentist
  • Bremerton, WA
  • NPI 1275645996
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1104249465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PARK AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371551",
            "telephone_number": "360-377-7621",
            "fax_number": "360-377-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PARK AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371551",
            "telephone_number": "360-377-7621",
            "fax_number": "360-377-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "360-377-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bremerton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winfield S Rumsey, DDS
• Alexandra Marie Runyan
• Mary Rush
• Antonio Rushing, MA60582370
• Patricia L Rushon, M.S. CCC-SLP (ASHA)
• Tiffany Russell, RN
• Gemma Rutherford
• David Christopher Ryan
• Sabryna Marcelyna Ryan
• Nichole Ryon

• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.