J Christopher Russell DDS Aa Professionalcorporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37491 Issued in CA

Legal business name

J CHRISTOPHER RUSSELL DDS AA PROFESSIONALCORPORATION

Practice address

3302 E Broadway
Long Beach, CA 90803-5905

Phone

(562) 438-9486

Fax

(562) 438-0152

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. J Christopher Russell, DDS

Title

President and Cfo

Phone

(562) 438-9486

Specialties & licenses 1

Addresses

Other names 1

• J Christopher Russell DDS Former legal business name

Locations

Practitioners 1

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

• J. Christopher Russell, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1942332747
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1801275318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035905",
            "telephone_number": "562-438-9486",
            "fax_number": "562-438-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035905",
            "telephone_number": "562-438-9486",
            "fax_number": "562-438-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHRISTOPHER RUSSELL DDS AA PROFESSIONALCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT AND CFO",
        "authorized_official_telephone_number": "562-438-9486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Christopher Russell DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sherin Iype
• Maya Iyyani, JD
• Ryan Scott Izell
• Kandis Izuhara, PHARM.D.
• J Chen DDS Dental Corporation
• J H Wells M D a Professional Corporation
• J U I Home Healthcare LLC
• J. Wu Medical Care Inc
• Aesha Jabbar, LICENSED CLINICIAN
• Cassandra Jablonski, LCSW #102322

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.