George Curtis Russell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30. 020295 Issued in OH

Practice address

15015 Holiday Dr
Vermilion, OH 44089-1084

Phone

(440) 967-7920

Fax

(440) 967-0235

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992828917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 HOLIDAY DR.",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891084",
            "telephone_number": "440-967-7920",
            "fax_number": "440-967-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 HOLIDAY DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891084",
            "telephone_number": "440-967-7920",
            "fax_number": "440-967-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GEORGE",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30. 020295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Ohio Inc (Rite Aid Pharmacy 04580)
• Geral Miguel Paulino Rodriguez
• Minya Roper
• James Rosecrans, LMHC, LICDC
• Thomas G Ruh, O.D.
• Krystal Russell, CNP
• Tarice Sanders
• Brigitte Maria Santos
• Rebeka Ann Saunders, LPN
• William Michael Schmitt, M.D.

• Dentist in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.