Russell J. Duke D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3802 Issued in AZ

Legal business name

RUSSELL J. DUKE D.M.D., P.C.

Practice address

1881 N Mastick Way
Suite 500
Nogales, AZ 85621-4120

Phone

(520) 281-2426

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell John Duke, D.M.D.NPI 1528155876

Title

President

Phone

(520) 281-2426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Russell John Duke, D.M.D.

  • General Practice Dentistry
  • Chinle, AZ
  • NPI 1528155876
  NPD (past) Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1487892477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N MASTICK WAY",
            "address_2": "SUITE 500",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856214120",
            "telephone_number": "520-281-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N MASTICK WAY",
            "address_2": "SUITE 500",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856214120",
            "telephone_number": "520-281-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J. DUKE D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-281-2426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Maureen Rojas, NP
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• General Practice Dentistry in Nogales, AZ
• Providers in Nogales, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.