DAVID WAYNE RUSSELL DMD
NPI 1164915294
Dentist in Las Cruces, NM

Q: What is David Russell's NPI number?

The NPI number for David Russell is 1164915294. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is David Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for David Russell was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2018

4171 NORTHRISE DRIVE, LAS CRUCES, NM 88011(575) 521-9375(575) 521-2637 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Oct 15, 2018, Aug 29, 2018 and 1 more (4 updates tracked since 2018).

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About David Wayne Russell Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID WAYNE RUSSELL DMD (NPI 1164915294) is an individual dentist in Las Cruces, New Mexico, licensed in New Mexico (DD4897) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1164915294

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDAVID WAYNE RUSSELLCredential: DMD

Location Address4171 NORTHRISE DRIVELas Cruces, NM 88011

Mailing Address4171 Northrise DriveLas Cruces, NM 88011 · (575) 521-9375 · Fax (575) 521-2637

Phone(575) 521-9375

Fax(575) 521-2637

Sole ProprietorNo

Enumeration DateJune 13, 2018

Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration

NPPES CertifiedAugust 5, 2024

✔ NPI 1164915294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD4897

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4897 (NM)

4171 NORTHRISE DRIVE, Las Cruces, NM 88011

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Other Identifiers 1

Medicaid81627718NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Russell's NPI number?

The NPI number for David Russell is 1164915294. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is David Russell located?

David Russell practices at 4171 Northrise Drive, Las Cruces, NM 88011. The listed phone number is (575) 521-9375.

What is David Russell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does David Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list David Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Russell was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.