Jennifer Ann Russell is a General Practice Dentistry practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1508375130, which was assigned on September 27, 2017, and the registration record was last updated on February 26, 2025. The practitioner's main practice location is at 2851 University Ave, Green Bay, WI 54311; the contact telephone number is 9204312500. The primary taxonomy of Jennifer Ann Russell is General Practice Dentistry (1223G0001X), with specialization in General Practice. Jennifer Ann Russell is licensed to practice in the state of Wisconsin (#1001792).
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.
| NPI | 1508375130 |
| Entity Type | Individual |
| Provider Name | JENNIFER ANN RUSSELL |
| Gender | Female |
| Credential | DDS |
| Practice Address |
2851 University Ave Green Bay WI 54311 |
| Practice Telephone | 9204312500 |
| Mailing Address |
2851 University Ave Green Bay WI 54311-5855 |
| Certification Date | 2025-02-26 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2025-02-26 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ||||
| Y | 1223G0001X | Dentist | General Practice | 1001792 | WI |
| Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| Classification | Dentist |
| Specialization | General Practice |
| Grouping | Dental Providers |
| 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. |
| Notes: Source: Academy of General Dentistry |
| Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| Classification | Student in an Organized Health Care Education/Training Program |
| Grouping | Student, Health Care |
| 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. |
| Notes: [1/1/2005: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pines Dental Village Corp. | 12558 Pines Blvd, Pembroke Pines, FL 33027-1713 | General Practice Dentistry | 2025-11-07 |
| Eryn Huber Dds | 6809 Cascade Rd Se Ste F, Grand Rapids, MI 49546-6895 | General Practice Dentistry | 2025-11-06 |
| Vrushali Damle Dental Corporation | 1164 E Yosemite Ave, Manteca, CA 95336-5052 | General Practice Dentistry | 2025-11-06 |
| Avondale Family Dentistry LLC | 765 Saint Andrews Blvd, Charleston, SC 29407-7164 | General Practice Dentistry | 2025-11-06 |
| Emergency Dentist of Texas Fort Worth | 5336 N Tarrant Pkwy, Fort Worth, TX 76244-6293 | General Practice Dentistry | 2025-11-08 |
| Elena Stan Corp | 5047 Clayton Rd, Concord, CA 94521-3006 | General Practice Dentistry | 2025-11-07 |
| Tailwater Practice Partners | 703 N Main St, Mt Pleasant, TN 38474-1015 | General Practice Dentistry | 2025-11-07 |
| Danielle Wolfe Dds | 3101 Droste Rd, Saint Charles, MO 63301-1109 | General Practice Dentistry | 2025-11-07 |
| Comfort Dental LLC | 658 N New Ballas Rd, Creve Coeur, MO 63141-6737 | General Practice Dentistry | 2025-11-08 |
| Great Valley Dental Associates | 1100 W Valley Rd, Wayne, PA 19087 | General Practice Dentistry | 2025-11-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
2851 UNIVERSITY AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Grace Madison Buechel | 2851 University Ave, Green Bay, WI 54311-5855 | Student in an Organized Health Care Education/Training Program | 2025-04-07 |
| Fatema Al-Wahshi | 2851 University Ave, Green Bay, WI 54311-5855 | Student in an Organized Health Care Education/Training Program | 2021-07-10 |
| David Anderson | 2851 University Ave, Green Bay, WI 54311-5855 | Dentist | 2016-08-24 |
| Lucas Joseph Evans | 2851 University Ave, Green Bay, WI 54311-5855 | Registered Respiratory Therapist | 2025-04-03 |
| Aquila Lesko | 2851 University Ave, Green Bay, WI 54311-5855 | Psychiatry Physician | 2021-03-25 |
| Aleisha Lynn Lego · Aleisha Lynn Norton | 2851 University Ave, Green Bay, WI 54311-5855 | Student in an Organized Health Care Education/Training Program | 2025-03-31 |
| Luke James Schuh | 2851 University Ave, Green Bay, WI 54311-5855 | Student in an Organized Health Care Education/Training Program | 2023-04-24 |
| Morgan Berger | 2851 University Ave, Green Bay, WI 54311-5855 | Pharmacist | 2017-08-03 |
| Katarzyna Ciesielska | 2851 University Ave, Green Bay, WI 54311-5855 | Student in an Organized Health Care Education/Training Program | 2025-04-12 |
| Dmitri Mayer | 2851 University Ave, Green Bay, WI 54311-5855 | Pharmacist | 2006-10-14 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brittany Shoemaker | 2633 Development Dr Ste 40, Green Bay, WI 54311-4239 | Dental Hygienist | 2025-09-29 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| Semyon Zarkhin | 2617 Development Dr, Green Bay, WI 54311-4240 | Dermatology Physician | 2007-07-23 |
| Gabrielle Arline Rutherford | 2581 Development Dr, Green Bay, WI 54311-4247 | Registered Nurse | 2025-03-10 |
| Helga Aquino Meyer · Helga Aquino Perpetuo | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-08-16 |
| Taylor Lauren Shefchik · Taylor Smiley | 2617 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-10-02 |
| Amritha Chandrahasa Karkera | 2845 Greenbrier Rd, Green Bay, WI 54311 | Hematology & Oncology Physician | 2010-07-21 |
| Kelsey Rose Esser · Kelsey Janssen | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-05-30 |
| Peter E. Mcmahon · Pete E. Mcmahon | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2006-07-27 |
| Kathryn Meadowcroft | 2581 Development Dr, Green Bay, WI 54311-4247 | Family Nurse Practitioner | 2023-01-06 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Russell Burris · Kelly Michele Russell | 109 Carrol Dr, Fries, VA 24330-4532 | Family Nurse Practitioner | 2011-06-20 |
| Mercy Burton Russell · Mercy Russell Hyde | 835 Spruce St Ste C&D, Espanola, NM 87532-3455 | Clinical Social Worker | 2007-01-25 |
| Jennifer Russell | 3333 Capital Medical Blvd, Tallahassee, FL 32308-4415 | Nurse Practitioner | 2012-12-20 |
| Russell Vo | 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104-3104 | Student in an Organized Health Care Education/Training Program | 2022-04-14 |
| Jennifer Marie Russell | 1215 Lee St Mailbox 800499, Charlottesville, VA 22908-0816 | Student in an Organized Health Care Education/Training Program | 2025-04-01 |
| Russell Allen Rinehart · Russell Rinehart | 3598 Highway 11 Ste 202, Travelers Rest, SC 29690-3501 | Mental Health Counselor | 2025-06-06 |
| Jennifer Russell | 2802 Broadway, Everett, WA 98201-3642 | Clinical Social Worker | 2016-07-07 |
| Patricia Ann Russell-Curry · Pattee Russell-Curry | 2805 G St, Merced, CA 95340 | Marriage & Family Therapist | 2006-10-11 |
| Davida Nicole Sheree Sande Russell · Davida Russell | 705 E 41st St Ste 200, Sioux Falls, SD 57105-6048 | Social Worker | 2025-10-15 |
| Thomas Russell Braswell-Pipes III · Thomas Russell Braswell III | 1305 Kings Hwy N, Cherry Hill, NJ 08034-1919 | Addiction (Substance Use Disorder) Counselor | 2024-06-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |