Individual provider

Ashley Russell, DMD

Pediatric Dentistry General Practice Dentistry Dentist Medicare enrolled

Ashley Russell, DMD is a provider specialising in Pediatric Dentistry in Knoxville, TN, registered under NPI 1083029086. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1103 CALLAHAN DR, Knoxville, TN 37912. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1103 CALLAHAN DR, Knoxville, TN 37912 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
10976 TN Pediatric Dentistry primary
6110 AL General Practice Dentistry
6110 AL Dentist
33891 TX Pediatric Dentistry

Licences are recorded in 3 states: TN, AL, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Other (non-physician)
PAC ID
7517269525
Enrollment ID
I20160107003061

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Other (non-physician). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Alabama, Tennessee and Texas. The practice address on file is in Knoxville, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
6110
Specialty
General Practice Dentistry
Verify with the AL board →
TN Tennessee practice address
Licence
10976
Specialty
Pediatric Dentistry
Verify with the TN board →
TX Texas
Licence
33891
Specialty
Pediatric Dentistry
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Dentistry covers

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
Dental Providers Dentist Pediatric Dentistry

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223P0221X Pediatric Dentistry Pediatric Dentistry 10976 TN primary
1223G0001X General Practice Dentistry General Practice 6110 AL
122300000X Dentist 6110 AL
1223P0221X Pediatric Dentistry Pediatric Dentistry 33891 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083029086 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 27, 2014
Last updatedJul 28, 2019
StatusActive
Sole proprietorNo
CredentialDMD
Practice address 1103 CALLAHAN DR
Knoxville, TN 37912
(865) 859-0355
Mailing address 1329 FOREST BROOK RD
Knoxville, TN 37919
The last update on file is Jul 28, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1083029086 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 0 2 9 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 0 2 9 0 7

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083029086?
NPI 1083029086 is the National Provider Identifier assigned to Ashley Russell, DMD in Knoxville, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Dentistry cover?
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
How do I contact Ashley Russell, DMD?
The phone number on file with NPPES is (865) 859-0355, last updated Jul 28, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ashley Russell, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083029086 a valid number?
Yes. 1083029086 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.