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DYLAN RUSSELL
NPI 1487298717
Student in an Organized Health Care Education/Training Program in Rogers, AR

Active since October 30, 2019
1015 WESTRIDGE LN, ROGERS, AR 72756(479) 295-2004 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dylan Russell NPPES

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

DYLAN RUSSELL (NPI 1487298717) is an individual student in an organized health care education/training program in Rogers, Arkansas and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1487298717
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN RUSSELL
Location Address1015 WESTRIDGE LNRogers, AR 72756-2034
Mailing Address1015 Westridge LnRogers, AR 72756-2034 · (479) 295-2004
Phone(479) 295-2004
Sole ProprietorNo
Enumeration DateOctober 30, 2019
✔ NPI 1487298717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 WESTRIDGE LN, Rogers, AR 72756
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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 Dylan Russell's NPI number?

The NPI number for Dylan Russell is 1487298717. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Where is Dylan Russell located?

Dylan Russell practices at 1015 Westridge Ln, Rogers, AR 72756. The listed phone number is (479) 295-2004.

What is Dylan Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dylan Russell was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.