Individual provider Active NPI

Ronald Charles Russo, D.M.D

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1497834469
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2348 Issued in AZ
Practice address
7500 E McDonald Dr
Suite 101-B
Scottsdale, AZ 85250-6052
Phone
(480) 998-3355
Fax
(480) 948-5153
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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 2348 AZ Primary

Addresses

Primary practice location

7500 E McDonald Dr
Suite 101-B
Scottsdale, AZ 85250-6052

Mailing address

7500 E. McDonald Dr.
Suite 101-B
Scottsdale, AZ 85250-6000
Phone (480) 998-3355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1497834469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E. MCDONALD DR.",
            "address_2": "SUITE 101-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506000",
            "telephone_number": "480-998-3355",
            "fax_number": "480-948-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 E MCDONALD DR",
            "address_2": "SUITE 101-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506052",
            "telephone_number": "480-998-3355",
            "fax_number": "480-948-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "RONALD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.