Organization Active NPI

Nicole Russo DDS LLC

Doing business as Russo Family Dentistry and Aesthetics

  • Public Health Dentistry
  • Metairie, LA
National Provider Identifier
1205715182
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
NICOLE RUSSO DDS LLC
Doing business as
Russo Family Dentistry and Aesthetics
Practice address
4520 Clearview Pkwy
Metairie, LA 70006-2308
Phone
(504) 454-7008
Fax
(504) 456-7308
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Nicole Zeringue Russo, DDS
Title
Owner/Dentist
Phone
(504) 454-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

4520 Clearview Pkwy
Metairie, LA 70006-2308

Mailing address

4520 Clearview Pkwy
Metairie, LA 70006-2308
Phone (504) 454-7008

Other names 1

  • RUSSO FAMILY DENTISTRY AND AESTHETICS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1205715182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062308",
            "telephone_number": "504-454-7008",
            "fax_number": "504-456-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062308",
            "telephone_number": "504-454-7008",
            "fax_number": "504-456-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE RUSSO DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ZERINGUE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "504-454-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSO FAMILY DENTISTRY AND AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.