Individual provider Active NPI

Russell William Smith, DMD

  • Dentist
  • New Orleans, LA
National Provider Identifier
1437991437
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7502 Issued in LA
Practice address
1100 Florida Ave
New Orleans, LA 70119-2714
Phone
(504) 941-8113
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7502 LA Primary
Dentist 122300000X 007523 AL
Dentist 122300000X 11541 SC

Addresses

Primary practice location

1100 Florida Ave
New Orleans, LA 70119-2714

Mailing address

206 Plumgrass Way
Bluffton, SC 29910-8974
Phone (864) 616-7335

Other practice location 1

347 Red Cedar St Bldg 400
Bluffton, SC 29910-8906
Phone (843) 305-3865

Other practice location 2

2930 4th Ave S
Birmingham, AL 35233-2914
Phone (205) 251-8128

Other practice location 3

5751 Pocahontas Rd Ste A
Bessemer, AL 35022-5478
Phone (205) 477-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240722003344 LA Order and Referring Only - DentistPractitioner - Dentist 6305382722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7502LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1437991437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PLUMGRASS WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108974",
            "telephone_number": "864-616-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192714",
            "telephone_number": "504-941-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 Red Cedar St Bldg 400",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108906",
            "country_code": "US",
            "telephone_number": "843-305-3865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332914",
            "country_code": "US",
            "telephone_number": "205-251-8128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5751 Pocahontas Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350225478",
            "country_code": "US",
            "telephone_number": "205-477-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSELL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7502",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "007523",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.