Individual provider Active NPI

Michael Vincent Russ, DMD

  • General Practice Dentistry
  • Marco Island, FL
National Provider Identifier
1427188945
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26847 Issued in FL
Practice address
950 N Collier Blvd Ste 305
Marco Island, FL 34145-2722
Phone
(239) 389-9400
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN26847 FL Primary
General Practice Dentistry 1223G0001X DI21517 NJ

Addresses

Primary practice location

950 N Collier Blvd Ste 305
Marco Island, FL 34145-2722

Mailing address

950 N Collier Blvd Ste 305
Marco Island, FL 34145-2722
Phone (239) 389-9400

Other practice location 1

286 Union Ave
Belleville, NJ 07109-2082
Phone (973) 302-4805

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

LicenseStateTypeSpecialty
DN26847FLMDGeneral Practice Dentistry
DI21517NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleeptreatmentdirectinc General Practice PastSince May 1, 2020 Accepting new patients
Marco Dental Care, PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1427188945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD STE 305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452722",
            "telephone_number": "239-389-9400",
            "fax_number": "239-688-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD STE 305",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452722",
            "telephone_number": "239-389-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071092082",
            "country_code": "US",
            "telephone_number": "973-302-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26847",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.