John Russell, III, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

OR15888 Issued in MS

Legal business name

JOHN RUSSELL, III, D.M.D.

Practice address

400 2ND Ave N
Amory, MS 38821-3513

Phone

(662) 256-3260

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Russell III, D.M.D.NPI 1821231663

Title

President

Phone

(662) 328-1521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Russell III, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbus, MS
  • NPI 1821231663
  Authorized official Same address or phone

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1699918201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052020",
            "telephone_number": "662-328-1521",
            "fax_number": "662-328-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND AVE N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213513",
            "telephone_number": "662-256-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RUSSELL, III, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-328-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR15888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & K Pharmacy Services LLC (Corner Drug Company)
• J & K Pharmacy Services LLC
• J-Lynn Medical Supplies
• Christy F Jaggers, FNP
• Amber James, PHARMD
• Megan Johnson, MS, CCC-SLP
• Murial Teresa Johnson
• Amanda Jill Kennedy
• Korie Elizabeth Kent, DPT
• Alyson Rae Key, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Amory, MS
• Providers in Amory, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.