Augustus S Russo, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS019052L Issued in PA

Practice address

310 Middletown Blvd
The Courtyard at Oxford Valley #202
Langhorne, PA 19047-3203

Phone

(215) 757-0864

Fax

(215) 757-8090

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gus S Russo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gus S. Russo DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Langhorne, PA
  • NPI 1861682460
  NPD (past)
• Plus Plus Orthodontics, PLLC

  dba Yang Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Langhorne, PA
  • NPI 1710455498
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1568662880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MIDDLETOWN BLVD",
            "address_2": "THE COURTYARD AT OXFORD VALLEY #202",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473203",
            "telephone_number": "215-757-0864",
            "fax_number": "215-757-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MIDDLETOWN BLVD",
            "address_2": "THE COURTYARD AT OXFORD VALLEY #202",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473203",
            "telephone_number": "215-757-0864",
            "fax_number": "215-757-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "AUGUSTUS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS019052L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUS",
            "last_name": "RUSSO",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mindy Rushbrook, MSS, LCSW
• Ekata H Rushi, PHYSICIAN ASSISTANT
• Rhonda Russeck, MA, CDDP
• Russel S. Bleiler, III DMD PC
• Russel T Bechtloff DDS
• Roksoliana Rybotycka, C.R.N.A.
• S.E. PA Pain Management
• Christine S Saari, CRNP
• Leyla Safavi
• Sukhdeep Singh Sahi

• Orthodontics and Dentofacial Orthopedics Dentistry in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.