Active NPI
Russell Craig Toler, DDS
- General Practice Dentistry
- Midland, TX
National Provider Identifier
1245301183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13517
- Practice address
- 4511 N Midkiff Rd
Suite E-15
Midland, TX 79705-3256 - Phone
- (432) 520-4867
- Fax
- (432) 694-7927
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 | 13517 | TX | Primary |
Addresses
Primary practice location
4511 N Midkiff Rd
Suite E-15
Midland, TX 79705-3256
Mailing address
4511 N Midkiff Rd
Suite E-15
Midland, TX 79705-3256
Phone (432) 520-4867
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 |
|---|---|---|---|
| 13517 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Mall FDC PA | Past | Accepting new patients | |
| Midland Park Mall Dental Practice, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Midland, TX
- NPI 1366600504
-
- General Practice Dentistry
- Midland, TX
- NPI 1467757112
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1245301183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 N MIDKIFF RD",
"address_2": "SUITE E-15",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797053256",
"telephone_number": "432-520-4867",
"fax_number": "432-694-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 N MIDKIFF RD",
"address_2": "SUITE E-15",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797053256",
"telephone_number": "432-520-4867",
"fax_number": "432-694-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLER",
"first_name": "RUSSELL",
"middle_name": "CRAIG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.