Russell Puterbaugh, RDH, BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7024861-9920 Issued in UT

Practice address

1337 N Quincy Ave
Ogden, UT 84404-3399

Phone

(801) 388-4034

NPI assigned

Feb 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1497995799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 N QUINCY AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043399",
            "telephone_number": "801-388-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 N QUINCY AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043399",
            "telephone_number": "801-388-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTERBAUGH",
        "first_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "RDH, BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "UT",
            "license": "7024861-9920",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "24320",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NV",
            "license": "101503",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "6457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Noel Pullar, LCMHC
• Craig Pulley, PA-C
• Lindsey Pulver
• Emily Towse Thorner Puntso
• James Richard Purin, LCSW
• Monique Putnam
• Melanie E Pyle, MPT, MS, ATC
• Yi Qu, R.N.
• David Fulton Quackenbush, CPCI
• Talia Lee Quartuccio

• Dental Hygienist in Ogden, UT
• Providers in Ogden, UT by specialty
• Dental Hygienist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.