Active NPI
Linda Kulma Russow, D.D.S.
- General Practice Dentistry
- Apopka, FL
National Provider Identifier
1144314279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN8332
- Practice address
- 2216 E Semoran Blvd
Apopka, FL 32703-5733 - Phone
- (407) 529-4973
- Fax
- (407) 889-2037
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN8332 | FL | Primary |
Addresses
Primary practice location
2216 E Semoran Blvd
Apopka, FL 32703-5733
Mailing address
856 Wetstone PL
Sanford, FL 32771-7144
Phone (407) 529-4973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077015900 | Medicaid | FL |
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 |
|---|---|---|---|
| DN8332 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1144314279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 WETSTONE PL",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717144",
"telephone_number": "407-529-4973",
"fax_number": "407-889-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2216 E SEMORAN BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035733",
"telephone_number": "407-529-4973",
"fax_number": "407-889-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSOW",
"first_name": "LINDA",
"middle_name": "KULMA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN8332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077015900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.