Active NPI
John Caleb Russell, DDS
- Dentist
- Grand Junction, CO
National Provider Identifier
1306575105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00205173
- Practice address
- 2560 Patterson Rd
Grand Junction, CO 81505-1423 - Phone
- (970) 245-1758
- NPI assigned
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00205173 | CO | |
| Dentist | 122300000X | 00205173 | CO | Primary |
Addresses
Primary practice location
2560 Patterson Rd
Grand Junction, CO 81505-1423
Mailing address
3144 Alec Way
Grand Junction, CO 81504-4044
Phone (801) 900-5798
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 |
|---|---|---|---|
| 00205173 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insuracaid Dental GJ LLC | General Practice | Past | Accepting new patients |
| Nadine M Hutchins DDS PC | Dentist | 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.
-
- General Practice Dentistry
- Grand Junction, CO
- NPI 1467910612
-
- Dentist
- Grand Junction, CO
- NPI 1457507626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1306575105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3144 ALEC WAY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815044044",
"telephone_number": "801-900-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051423",
"telephone_number": "970-245-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JOHN",
"middle_name": "CALEB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-07",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00205173",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00205173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.