Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRAVIS ANDRE RUSSELL DDS
NPI 1861976839
Dentist - General Practice in Concord, NC

Active since September 17, 2018PECOS Enrolled
280 CONCORD PKWY S STE 110A, CONCORD, NC 28027(704) 920-1070(704) 920-1071 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jun 11, 2019, Nov 20, 2018 and 1 more (4 updates tracked since 2018).

About Travis Andre Russell Dds NPPES

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

TRAVIS ANDRE RUSSELL DDS (NPI 1861976839) is an individual general practice provider in Concord, North Carolina, licensed in North Carolina (14607) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kannapolis.

NPPES Registry Identity

NPI1861976839
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTRAVIS ANDRE RUSSELLCredential: DDS
Location Address280 CONCORD PKWY S STE 110AConcord, NC 28027-2704
Mailing Address300 Mooresville RdKannapolis, NC 28081-0304 · (704) 920-1000 · Fax (704) 934-4270
Fax(704) 920-1071
Sole ProprietorNo
Enumeration DateSeptember 17, 2018
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1861976839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 14607
Definition
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.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 9255 (SC)
280 CONCORD PKWY S STE 110A, Concord, NC 28027

Secondary Practice Location 1

Location 1300 Mooresville RdKannapolis, NC 28081-0304 · Phone (704) 920-1070 · Fax (704) 920-1071

Other Identifiers 1

MedicaidZX9255SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Travis Andre Russell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (Dental Public Health)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027
Dentist (General Practice)
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027

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 Travis Russell's NPI number?

The NPI number for Travis Russell is 1861976839. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Travis Russell located?

Travis Russell practices at 280 Concord Pkwy S Ste 110A, Concord, NC 28027. The listed phone number is (704) 920-1070.

What is Travis Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Travis Russell enrolled in Medicare?

Yes. Travis Russell is registered in the Medicare PECOS enrollment system.

What insurance does Travis 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 9 other insurers list Travis 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 Travis Russell was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.