DR. JOHN CLARK RUSSELL (NPI# 1831221159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831221159 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLARK RUSSELL |
| Credential | DDS |
| Practice Address |
2010 Court St Beatrice NE 68310-3209 |
| Practice Telephone | 4022233145 |
| Practice Fax Number | 4022233176 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4554 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47060513200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231663 | John Russell IIi | Dentist | 206 N Brookmoore Dr, Columbus, MS 39705-2020 | 2009-04-09 |
| 1417106196 | John Edwin Russell | Physical Medicine & Rehabilitation | 6455 Toucan Trl, Spring Hill, FL 34607-2642 | 2008-09-17 |
| 1811023963 | John Thomas Russell | Dentist | 1116 West St, Suite B, Annapolis, MD 21401-3608 | 2007-02-25 |
| 1003957515 | John Wesley Russell | Dentist | 3253 Mccracken St, Muskegon, MI 49441 | 2007-02-08 |
| 1902958077 | John Douglas Russell | Dentist | 4178 Ashby Court, Shasta Lake City, CA 96019 | 2007-01-17 |
| 1619066156 | John Grover Russell | Specialist | 8188 W Bartlett Rd, Casa Grande, AZ 85222-7336 | 2006-10-12 |
| 1003918137 | John C Russell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2731 Oak Bluff, San Antonio, TX 78230 | 2006-09-01 |
| 1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
| 1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
| 1124098728 | John J Russell | Internal Medicine | 1610 N Kings Highway St, Suite 304, Cape Girardeau, MO 63701-2196 | 2006-01-25 |
| Street Address |
2010 COURT ST |
| City | BEATRICE |
| State | NE |
| Zip Code | 68310-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511902 | Juliana Scheideler | Massage Therapist | 1301 N 6th St., Beatrice, NE 68310 | 2016-11-18 |
| 1073801460 | Christensen Audiology & Hearing Aid Center LLC | Audiologist-Hearing Aid Fitter | 3000 Lincoln Boulevard, Beatrice, NE 68310 | 2011-07-19 |
| 1871729194 | Christine Ann Beckman | Massage Therapist | 560 Sargent, Beatrice, NE 68310 | 2009-06-01 |
| 1528237112 | Shawn Wade Bryant | Psychologist | 839 W. Court St., Suite 4, Beatrice, NE 68310 | 2008-02-27 |
| 1275720583 | Assisted Living Concepts Inc | Assisted Living Facility | 2300 Lincoln Street, Beatrice, NE 68310 | 2007-10-01 |
| 1609074228 | Amber Dawn Ferguson | Counselor | 1123 N. 9th St., Beatrice, NE 68310 | 2007-07-05 |
| 1912052671 | Ella Faye Winkle | Counselor | 29824 Hwy 77, Beatrice, NE 68310 | 2007-01-24 |
| 1306918438 | Sharon Ann Langvardt | Counselor | 123 N 9th St, Blue Valley Mental Health Center, Beatrice, NE 68310 | 2006-11-14 |
| 1033289160 | Glenda Parde Behrens | Counselor | 729 Seward Street, Seward, NE 68310 | 2006-11-08 |
| 1326117243 | Jolene Ann Pike | Nurse Practitioner | 3000 Lincoln, Beatrice, NE 68310 | 2006-11-07 |
| Find all providers in zip 68310 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295089738 | Richard J. Mazour Dds | Dentist | 801 W. Court St., Beatrice, NE 68310-3577 | 2012-11-06 |
| 1578778379 | William Alan Pinkerton | Dentist | 431 N 7th St, Beatrice, NE 68310-2935 | 2007-05-14 |
| 1518183680 | Gleason Family Dental Clinic, P.C. | Dentist | 512 Lincoln St, Beatrice, NE 68310-2932 | 2007-04-17 |
| 1275635815 | Scott Osborne | Dentist | 801 Elk St, Beatrice, NE 68310-3022 | 2006-09-03 |
| 1316239486 | Woodward & Villafane PC | Dentist | 801 West Court Street, Beatrice, NE 68310-3577 | 2011-05-09 |
| 1952510463 | David Michael Gleason | Dentist | 512 Lincoln St, Beatrice, NE 68310-2932 | 2007-05-21 |
| 1063621563 | Timothy Michael Gleason | Dentist | 512 Lincoln St, Beatrice, NE 68310-2932 | 2007-05-21 |
| 1740499250 | Daniel Drew Gleason | Dentist | 512 Lincoln St, Beatrice, NE 68310-2932 | 2007-05-21 |
| 1669680542 | Kenneth Eugene Pinkerton | Dentist | 431 N 7th St, Beatrice, NE 68310-2935 | 2007-05-21 |
| 1760556807 | Juan A Villafane | Dentist | 801 West Court Street, Beatrice, NE 68310 | 2006-11-20 |
| Find all providers in BEATRICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.