Russell W Reddell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19405 Issued in TX

Practice address

1005 N 16TH St
Lamesa, TX 79331-3151

Phone

(806) 872-6310

Fax

(806) 872-6319

NPI assigned

Oct 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCICD

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.

• South Plains Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lamesa, TX
  • NPI 1144333063
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295823136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FARM MARKET ROAD 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-897-1987",
            "fax_number": "806-894-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N 16TH ST",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313151",
            "telephone_number": "806-872-6310",
            "fax_number": "806-872-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDELL",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell County Hospital Distict
• Isabel Molina, MD
• Chad Norris
• Venkata Pasupuleti, DDS
• Jody Allison Pfeuffer, DMD
• Terri Lynn Rose, MD
• Preet Mohinder Singh Sandhu, D.D.S
• Sands Cisd
• Cynde Schneider, FNP-C
• Senior Living Properties LLC

• Dentist in Lamesa, TX
• Providers in Lamesa, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.