OrganizationActive
Peter A. Russo, DDS, Inc.
NPI 1194250019 · Periodontics · Huntington Beach, CA
Peter A. Russo, DDS, Inc. is a Periodontics organization in Huntington Beach, CA (NPI 1194250019).
Provider details
- NPI number
- 1194250019
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Peter Russo, Owner(714) 842-2515
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18800 Main St
Suite 201
Huntington Beach, CA 92648-1707
Phone: (714) 842-2515
Fax: (714) 847-7075
Approximate (ZIP-level) locationGet directions
Mailing address
18800 Main St
Huntington Beach, CA 92648-1707
Registry dates
- Enumerated
- 2017-04-28
- Last updated
- 2017-04-28
Frequently asked questions
- What is Peter A. Russo, DDS, Inc.'s NPI number?
- Peter A. Russo, DDS, Inc.'s National Provider Identifier (NPI) is 1194250019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peter A. Russo, DDS, Inc.?
- Peter A. Russo, DDS, Inc. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Peter A. Russo, DDS, Inc. located?
- Peter A. Russo, DDS, Inc.'s practice location on file with NPPES is 18800 Main St, Huntington Beach, CA 92648-1707.
- What is Peter A. Russo, DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Peter A. Russo, DDS, Inc. is (714) 842-2515.
- Who is the authorized official for Peter A. Russo, DDS, Inc.?
- The authorized official listed on Peter A. Russo, DDS, Inc.'s NPPES record is Peter Russo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peter A. Russo, DDS, Inc.'s NPI active?
- Yes — Peter A. Russo, DDS, Inc.'s NPI (1194250019) is active in the NPPES registry as of the last update on 2017-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.