What is Jacob Russell's NPI number?

Jacob Russell's National Provider Identifier (NPI) is 1750411963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Russell's specialty?

Jacob Russell is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jacob Russell located?

Jacob Russell's practice location on file with NPPES is 525 Nautilus St, La Jolla, CA 92037-6139.

What is Jacob Russell's phone number?

The practice phone number listed in the NPPES registry for Jacob Russell is (858) 459-4113.

Is Jacob Russell's NPI active?

Yes — Jacob Russell's NPI (1750411963) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jacob Russell, DDS

NPI 1750411963 · General Practice Dentistry · La Jolla, CA

Jacob Russell, DDS is a General Practice Dentistry provider in La Jolla, CA (NPI 1750411963).

Provider details

NPI number: 1750411963
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 26521 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 26521 (CA)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

525 Nautilus St

La Jolla, CA 92037-6139

Phone: (858) 459-4113

Fax: (858) 459-4125

Street-level locationGet directions

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Mailing address