Russell D York, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010698 Issued in AZ

Practice address

1928 E Main St
Mesa, AZ 85203-9024

Phone

(480) 729-6090

NPI assigned

Jun 11, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mesa Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1649531658
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1821613134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S OLIVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041036",
            "telephone_number": "480-329-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039024",
            "telephone_number": "480-729-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Yip
• Yogi Healthcare LLC
• Cassidy Yonis
• Zachary Yono
• Nina Rostrup Yoon, DPT
• Gerald Lewis Yospur, M.D.
• Carianne M Yost, M.S., CFY-SLP
• Amanda Young, LMT
• Amelia Rose Young, PA-C
• Andrea Young, LMSW

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.