Individual provider Active NPI

Russell Leonard Cureton, D.D.S.

  • General Practice Dentistry
  • Salinas, CA
National Provider Identifier
1477698256
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31451 Issued in CA
Practice address
620 E Alvin Dr
Suite E
Salinas, CA 93906-3054
Phone
(831) 449-8363
Fax
(831) 449-8364
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31451 CA Primary

Addresses

Primary practice location

620 E Alvin Dr
Suite E
Salinas, CA 93906-3054

Mailing address

620 E Alvin Dr
Suite E
Salinas, CA 93906-3054
Phone (831) 449-8363

Other identifiers 1

IdentifierTypeStateIssuer
G92219MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150714000492 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395058861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31451CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477698256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E ALVIN DR",
            "address_2": "SUITE E",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063054",
            "telephone_number": "831-449-8363",
            "fax_number": "831-449-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E ALVIN DR",
            "address_2": "SUITE E",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063054",
            "telephone_number": "831-449-8363",
            "fax_number": "831-449-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURETON",
        "first_name": "RUSSELL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92219",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.