Brenda M Elliott DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENDA M ELLIOTT DDS PLC

Doing business as

Brenda M. Elliott, DDS

Practice address

1208 Main St
Altavista, VA 24517-1434

Phone

(434) 369-6244

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda M Elliott, DDSNPI 1386710309

Title

Owner

Phone

(434) 369-6244

Specialties & licenses 1

Addresses

Other names 1

• Brenda M. Elliott, DDS Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda M. Elliott, D.D.S.

  • General Practice Dentistry
  • Altavista, VA
  • NPI 1386710309
  NPD Authorized official
• Ching-Wen Wang, D.M.D.

  • General Practice Dentistry
  • Altavista, VA
  • NPI 1033629688
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1023713922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 THREE CHOP CIR",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245172132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MAIN ST",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171434",
            "telephone_number": "434-369-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA M ELLIOTT DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-369-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brenda M. Elliott, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Leigh Austin Tuck, OTR/L
• Autumn Care of Altavista, LLC
• Autumn Corporation (Autumn Care of Altavista)
• Leslie Lindsay Aylor, M.ED., CCC SLP
• Clifton Boley Jr.
• Emily Carroll
• Francis C. Carter, M.D.
• Britney Cawley
• Centra Health Professional Services, LLC (Altavista Medical Center)
• Centra Medical Group, LLC (Altavista Medical Center RHC)

• General Practice Dentistry in Altavista, VA
• Providers in Altavista, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.