Organization Active NPI

Ellis Family Dentistry

  • General Practice Dentistry
  • Hopewell, VA
National Provider Identifier
1023550233
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELLIS FAMILY DENTISTRY
Practice address
3416 Woodlawn St
Hopewell, VA 23860-4738
Phone
(804) 458-6733
NPI assigned
Nov 7, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Hunter Ellis, DDS
Title
Dentist/Owner
Phone
(804) 458-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3416 Woodlawn St
Hopewell, VA 23860-4738

Mailing address

3416 Woodlawn St
Hopewell, VA 23860-4738
Phone (804) 458-6733

National Provider Directory

National Provider Directory
Tax ID family
David L Ellis DDS LTD2 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1023550233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 WOODLAWN ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238604738",
            "telephone_number": "804-458-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 WOODLAWN ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238604738",
            "telephone_number": "804-458-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-458-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.