Russell G. Tripp. D.D.S. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017749 Issued in IL

Legal business name

RUSSELL G. TRIPP. D.D.S. LLC

Practice address

28W530 Batavia Rd
P.O. 291
Warrenville, IL 60555-3022

Phone

(630) 393-4600

Fax

(630) 393-4690

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Russell G. Tripp, D.D.S.

Title

Member

Phone

(630) 393-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1891063228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W530 BATAVIA RD",
            "address_2": "P.O. 291",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553022",
            "telephone_number": "630-393-4600",
            "fax_number": "630-393-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W530 BATAVIA RD",
            "address_2": "P.O. 291",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553022",
            "telephone_number": "630-393-4600",
            "fax_number": "630-393-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL G. TRIPP. D.D.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-393-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Ross, MD
• RPM Oh Corp
• Evan Jacob Ruff
• Stephanie Ruiz
• Mary Ann Rushkewicz
• Patricia Russell, DC
• Lucille R Russo, M. D.
• Richard J Ryan, D.D.S.
• S & J Wellness PLLC
• Kunal Sachdev, PSY.D.

• General Practice Dentistry in Warrenville, IL
• Providers in Warrenville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.