Alan L Russell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9480 Issued in MN

Practice address

2010 27TH Ave S
Minneapolis, MN 55406-1108

Phone

(612) 336-8478

NPI assigned

Feb 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Dr Alan Russell PLC

  • Dentist
  • Minneapolis, MN
  • NPI 1194997783
  NPD (past)
• Modern Dental Professionals Minnesota PC

  • Dentist
  • Minneapolis, MN
  • NPI 1447860523
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124092119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 27TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061108",
            "telephone_number": "612-336-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 27TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061108",
            "telephone_number": "612-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "13D69RU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED OF CONCORDIA ID #",
            "identifier": "710609",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Ruppman, MD
• Rusciano - Hyland, Inc.
• Katharine Noelle Rush, PT, DPT
• Kayci Rose Rush, LICSW
• Robert Rusnak
• Catherine Lenore Russell, MSW, LICSW
• Dorothea D Russell, RN, MS, CNP
• Evelyn Ruth Russell, PT
• Holly Ann Russell, RD
• Naijia Russell

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.