Russell V. Fu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019015275 Issued in IL

Practice address

7105 Janes Ave
Woodridge, IL 60517-2321

Phone

(630) 963-7766

Fax

(630) 963-7850

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell V. Fu, DDS

  • General Practice Dentistry
  • Woodridge, IL
  • NPI 1518981018
  NPD (past) Authorized official
• Smart Mouth Dental P.C.

  • Dental Clinic/Center
  • Woodridge, IL
  • NPI 1891189189
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1326380296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172321",
            "telephone_number": "630-963-7766",
            "fax_number": "630-963-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172321",
            "telephone_number": "630-963-7766",
            "fax_number": "630-963-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "RUSSELL",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019015275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Wellness Center
• Foot and Ankle Wellness Center at Seven Bridges PC
• Jennifer Marie Forbes, M.S., AMFT
• Devonshae Latrice Forrest
• Fresenius Medical Care Naperbrook, LLC (Fresenius Kidney Care Woodridge)
• Rosa L Fuentes, N.P.
• Gary David Gallagher, D.P.M.
• Rosendo Galvez, LMT
• Vikram H Gandhi, MD
• Denise G Garcia, PMHNP-BC, DNP

• Dentist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.