Aimee Russo-Mounger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5136 Issued in LA

Practice address

10235 Jefferson Hwy.
Building #5
Baton Rouge, LA 70809

Phone

(225) 292-7645

Fax

(225) 292-0345

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1518013440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10235 JEFFERSON HWY.",
            "address_2": "BUILDING #5",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-292-7645",
            "fax_number": "225-292-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10235 JEFFERSON HWY.",
            "address_2": "BUILDING #5",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-292-7645",
            "fax_number": "225-292-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO-MOUNGER",
        "first_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen McCraney Brown Russell
• Mike August Russell, DDS
• Randall Shane Russell
• Shandricka Russell, LPC
• William E Russell, M.D.
• Aldo J Russo, M.D.
• Alexis Russo, D.D.S.
• Marisa Russo, RBT
• Megan Rust
• Michael Ruth, M.D.

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.