Russell Creig Dupuis Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1928 Issued in SC

Practice address

142 Leisure LN
Columbia, SC 29210-4125

Phone

(803) 731-9556

Fax

(803) 731-1744

NPI assigned

Mar 2, 2007

Sex

Male

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mills & Millwood Inc

  • Dental Clinic/Center
  • Columbia, SC
  • NPI 1477059863
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659409209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LEISURE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104125",
            "telephone_number": "803-731-9556",
            "fax_number": "803-731-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LEISURE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104125",
            "telephone_number": "803-731-9556",
            "fax_number": "803-731-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "RUSSELL",
        "middle_name": "CREIG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Denise Dunn
• Jacqueline Hartley Dunning, LISW-CP
• Linda F. Dunovant, NP
• Lisa Dupont
• Kayla Nate' Dupree
• Coretta Durant
• Randy Edward Durbin, DO
• Lauren Durden, APRN
• Teresa B Durden, ACNP
• Martin Walter Durkin, M.D.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.