NPIMap

Organization Active NPI

Russell Cleveland DDS

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1467903179
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006305 Issued in VA
Legal business name
RUSSELL CLEVELAND DDS
Practice address
1670 Huguenot Rd
Midlothian, VA 23113-2427
Phone
(804) 794-4564
Fax
(804) 794-9389
NPI assigned
Oct 18, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Russell Alan Cleveland, DDSNPI 1699863191
Title
Dentist/Owner
Phone
(804) 794-4564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401006305 VA Primary

Addresses

Primary practice location

1670 Huguenot Rd
Midlothian, VA 23113-2427

Mailing address

1670 Huguenot Rd
Midlothian, VA 23113-2427
Phone (804) 794-4564

National Provider Directory

National Provider Directory
Part of
DRS Rossetti Cosby Kondrossy DDS LC

Locations

1670 Huguenot Rd
Midlothian, VA 23113
Phone (804) 794-4564

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1467903179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132427",
            "telephone_number": "804-794-4564",
            "fax_number": "804-794-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132427",
            "telephone_number": "804-794-4564",
            "fax_number": "804-794-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CLEVELAND DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-794-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.