Active NPI
James E Russon DDS PC
- General Practice Dentistry
- Bountiful, UT
National Provider Identifier
1205337391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 138216-9922
- Legal business name
- JAMES E RUSSON DDS PC
- Practice address
- 817 N 250 W
Bountiful, UT 84010 - Phone
- (801) 294-5781
- NPI assigned
- Feb 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James E Russon, DDS
- Title
- Owner
- Phone
- (801) 294-5781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 138216-9922 | UT | Primary |
Addresses
Primary practice location
817 N 250 W
Bountiful, UT 84010
Mailing address
817 N 250 W
Bountiful, UT 84010-6873
Phone (801) 294-5781
Other practice location 1
5899 W Rivendell Dr
West Jordan, UT 84081-6500
Phone (801) 294-5781
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526428800000",
"number": "1205337391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 N 250 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106873",
"telephone_number": "801-294-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 N 250 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-294-5781"
}
],
"practiceLocations": [
{
"address_1": "5899 W Rivendell Dr",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840816500",
"country_code": "US",
"telephone_number": "801-294-5781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAMES E RUSSON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2018-05-16",
"status": "A",
"authorized_official_last_name": "RUSSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-294-5781",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "138216-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.