Russell Scott Norris, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007372 Issued in IN

Practice address

105 Lawrence Dr
Mount Vernon, IN 47620-1242

Phone

(812) 838-6523

Fax

(812) 838-6584

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801922968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAWRENCE DR",
            "address_2": "P.O. BOX 682",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476201242",
            "telephone_number": "812-838-6523",
            "fax_number": "812-838-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAWRENCE DR",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476201242",
            "telephone_number": "812-838-6523",
            "fax_number": "812-838-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan School District of Mt. Vernon
• Nathan John Miller
• Jaley Anne Montgomery, MT-BC
• Mt Vernon Chiropractic Center Inc.
• Normal Life of Indiana
• Melody Sue Oeth, F.N.P.
• Optimal Health LLC
• Joanna Osterman
• Rosemary Helen Pendley, CCC-SLP
• Melissa Pfeiffer, RD

• All providers in Mount Vernon, IN
• General Practice Dentistry in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.