Doctor profile · Federal record
Dr. Nicholas Russo, D.D.S.
Dentist · Brookfield, WI
- NPI 1063811297
- 12 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12690 W North Ave
Brookfield, WI 530054636
(262) 784-3740
Credentials & registration
- NPI registered
- August 2014 — 12 yrs on file
- Profile last updated
- February 9, 2016
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Wisconsin #1000994-15
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063811297. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$8
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $8.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
20
Patients
18
Total drug cost
$69
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 20 | 18 | $69 |
Frequently asked questions
What is Dr. Nicholas Russo's medical specialty?
Dr. Nicholas Russo practices Dentist in Brookfield, WI.
Where does Dr. Nicholas Russo practice?
Dr. Nicholas Russo practices at 12690 W North Ave, Brookfield, WI 530054636. Office phone: 2627843740.
What is Dr. Nicholas Russo's NPI?
Dr. Nicholas Russo's National Provider Identifier (NPI) is 1063811297, issued by NPPES.