Active NPI
Russell Scott Homer, DDS
- Dentist
- Billings, MT
National Provider Identifier
1770748436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2312
- Practice address
- 2900 Central Ave, BLDG 1
Billings, MT 59102-6686 - Phone
- (406) 656-6100
- Fax
- (406) 656-8726
- NPI assigned
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2312 | MT | Primary |
Addresses
Primary practice location
2900 Central Ave, BLDG 1
Billings, MT 59102-6686
Mailing address
2900 Central Ave, BLDG 1
Billings, MT 59102-6686
Phone (406) 656-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312 | MT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brewer Dental Center PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Billings, MT
- NPI 1548410327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1770748436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CENTRAL AVE, BLDG 1",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026686",
"telephone_number": "406-656-6100",
"fax_number": "406-656-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CENTRAL AVE, BLDG 1",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026686",
"telephone_number": "406-656-6100",
"fax_number": "406-656-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "RUSSELL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "2312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.