Russell Charles Hurst Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2501 Issued in SC

Practice address

40 Wesmark CT
Sumter, SC 29150-1996

Phone

(803) 469-2062

Fax

(803) 469-2063

NPI assigned

Apr 16, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Snore No More Sumter LLC

  • Durable Medical Equipment & Medical Supplies
  • Sumter, SC
  • NPI 1104475177
  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1184849283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WESMARK CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501996",
            "telephone_number": "803-469-2062",
            "fax_number": "803-469-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WESMARK CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501996",
            "telephone_number": "803-469-2062",
            "fax_number": "803-469-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "RUSSELL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2501",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrington Huneycutt, PHARMD
• Richard Daryl Huneycutt, DO
• J'Neice Tara-Marie Hunter, MA, LPC-A
• Laquette Tamereka Hunter, PA
• Julie Marie Hurley, LMT
• Teri Korn Hurst, RDH
• Margaret Wilkinson Hutchens, LISW
• Shawn Anthony Hutchinson
• In Good Hearts Home Care LLC
• Infinity Health and Wellness Solutions, LLC

• General Practice Dentistry in Sumter, SC
• Providers in Sumter, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.