Organization Active NPI

Russell B Stoch DMD PA

  • Endodontics
  • North Palm Beach, FL
National Provider Identifier
1578847760
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN8991 Issued in FL
Legal business name
RUSSELL B STOCH DMD PA
Practice address
840 US Highway 1 Ste 200
North Palm Beach, FL 33408-3859
Phone
(561) 627-4040
Fax
(561) 624-5881
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Russell Brian Stoch, D.M.D.NPI 1952303869
Title
President
Phone
(561) 627-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN8991 FL Primary

Addresses

Primary practice location

840 US Highway 1 Ste 200
North Palm Beach, FL 33408-3859

Mailing address

840 US Highway 1 Ste 200
North Palm Beach, FL 33408-3859
Phone (561) 627-4040

National Provider Directory

National Provider Directory

Locations

840 US Highway 1
Ste 200
North Palm Beach, FL 33408
Phone (407) 627-4040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1578847760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 200",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083859",
            "telephone_number": "561-627-4040",
            "fax_number": "561-624-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 200",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083859",
            "telephone_number": "561-627-4040",
            "fax_number": "561-624-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL B STOCH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "STOCH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-627-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN8991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.