NPIMap

Organization Active NPI

H Patrick Russell II DMD PC

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1497941058
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7391 Issued in VA
Legal business name
H PATRICK RUSSELL II DMD PC
Practice address
4736 Starkey Rd Ste B
Roanoke, VA 24018
Phone
(540) 772-7135
Fax
(540) 772-1317
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. H Patrick Russell II, DMD
Title
Owner Dentist
Phone
(540) 772-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7391 VA Primary

Addresses

Primary practice location

4736 Starkey Rd Ste B
Roanoke, VA 24018

Mailing address

4736 Starkey Rd Ste B
Roanoke, VA 24018
Phone (540) 772-7135

National Provider Directory

National Provider Directory

Locations

4736 Starkey Rd
Ste B
Roanoke, VA 24018
Phone (540) 772-7135

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1497941058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 STARKEY RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-772-7135",
            "fax_number": "540-772-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 STARKEY RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-772-7135",
            "fax_number": "540-772-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H PATRICK RUSSELL II DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "540-772-7135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.