Joseph J Russo DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOSEPH J RUSSO DDS

Practice address

47 William St
Lyons, NY 14489-1544

Phone

(315) 946-6511

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Russo, DDSNPI 1609211663

Title

Doctor/Owner

Phone

(315) 527-8821

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.

• Joseph Russo, DDS

  • Dentist
  • Lyons, NY
  • NPI 1609211663
  NPD (past) Authorized official
• Randolph L Mitchell, DMD

  • General Practice Dentistry
  • Lyons, NY
  • NPI 1730184334
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1942781984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 CARRINGTON WAY",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648736",
            "telephone_number": "315-527-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WILLIAM ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891544",
            "telephone_number": "315-946-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J RUSSO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "315-527-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary P. Hutchings, LPN
• Candice Ikeler
• Katelynn E Jackson, LPN
• Susan Elaine Jackson, RPA-C
• Maria Lisa Jones, ASW, ICM
• Jennifer Juby
• Alexandra Katchmar, LMSW
• Jy Thomas Kelley
• Kayla Kiesinger, LMSW
• Robert Allen Knight, BA

• Dental Clinic/Center in Lyons, NY
• Providers in Lyons, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.