Active NPI
William Russell Ross, D.D.S.
- General Practice Dentistry
- Waco, TX
National Provider Identifier
1881669653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14121
- Practice address
- 3620 Scroggins Dr
Waco, TX 76705-2579 - Phone
- (254) 799-5746
- Fax
- (254) 799-4115
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14121 | TX | Primary |
Addresses
Primary practice location
3620 Scroggins Dr
Waco, TX 76705-2579
Mailing address
3620 Scroggins Dr
Waco, TX 76705-2579
Phone (254) 799-5746
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 |
|---|---|---|---|
| 14121 | TX | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates of TX, P.C. | General Practice | Past | Accepting new patients |
| Brazos Family Dentistry, L.L.P. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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
- Waco, TX
- NPI 1902872682
-
- General Practice Dentistry
- Waco, TX
- NPI 1417542440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1881669653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 SCROGGINS DR",
"city": "WACO",
"state": "TX",
"postal_code": "767052579",
"telephone_number": "254-799-5746",
"fax_number": "254-799-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 SCROGGINS DR",
"city": "WACO",
"state": "TX",
"postal_code": "767052579",
"telephone_number": "254-799-5746",
"fax_number": "254-799-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "WILLIAM",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.