John E. Russo, D.M.D, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN E. RUSSO, D.M.D, P.A.

Practice address

430 N Mills Ave Ste 3
Orlando, FL 32803-5746

Phone

(407) 843-2112

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Garcia Rocha

Title

Sr Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• John E. Russo, D.M.D. Family and Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E Russo, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1679538367
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1508680497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MILLS AVE STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035746",
            "telephone_number": "407-843-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MILLS AVE STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035746",
            "telephone_number": "407-843-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. RUSSO, D.M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John E. Russo, D.M.D. Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Jogie, RBT
• Johanna McDonald LLC
• Johanna McDonald LLC
• Ellen Johansson
• John Bazata, DPM
• John G Lee DDS PA
• John Grbac Psy.D.
• John Grbac, Psy.D., P.L.
• John L Meisenheimer MD PA
• John P Karabatos, M.D. P.a.

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.