Benjamin T Russell DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BENJAMIN T RUSSELL DMD LLC

Practice address

742 NE Division St Ste 102
Gresham, OR 97030-3979

Phone

(503) 667-2442

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By 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. Benjamin RussellNPI 1922168343

Title

Owner

Phone

(503) 667-2442

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Benjamin T Russell, DMD

  • Periodontics
  • Gresham, OR
  • NPI 1922168343
  NPD Authorized official
• Sei Jin Kim, D.M.D

  • General Practice Dentistry
  • Gresham, OR
  • NPI 1457703001
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1881247039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 NE DIVISION ST STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303979",
            "telephone_number": "503-667-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 NE DIVISION ST STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303979",
            "telephone_number": "503-667-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 NE Wasco St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321772",
            "country_code": "US",
            "telephone_number": "503-954-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENJAMIN T RUSSELL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-667-2442",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Belling
• Christina Bellmore
• Jennifer Beltran
• Benchmark Physical Therapy of Or, LLC
• Marin Benfit
• Linda Gail Bennett
• Sandra J. Bennett, DMD
• Ramon Benton, MSW, CSWA
• Amy E Berg, PMHNP
• Daniel R Berger

• Dental Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.