NPIMap

Organization Active NPI

Nathan G Russell DDS PC

  • Dental Clinic/Center
  • Bainbridge Island, WA
National Provider Identifier
1912864364
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NATHAN G RUSSELL DDS PC
Practice address
945 Hildebrand LN NE Ste 230
Bainbridge Island, WA 98110-3080
Phone
(206) 780-1010
Fax
(206) 780-1616
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Nathan Gregory Russell, DDSNPI 1700870862
Title
Dentist/Owner
Phone
(206) 780-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

945 Hildebrand LN NE Ste 230
Bainbridge Island, WA 98110-3080

Mailing address

945 Hildebrand LN NE Ste 230
Bainbridge Island, WA 98110-3080
Phone (206) 780-1010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1912864364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 230",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103080",
            "telephone_number": "206-780-1010",
            "fax_number": "206-780-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 230",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103080",
            "telephone_number": "206-780-1010",
            "fax_number": "206-780-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN G RUSSELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-780-1010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.