Joshua Charles Ellis, A.T.C., C.S.C.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0107 Issued in SD

Practice address

321 Kansas City St
Rapid City, SD 57701-2820

Phone

(605) 394-4860

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043362247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CITY SPRINGS RD",
            "address_2": "APT 12",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020155",
            "telephone_number": "605-737-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012820",
            "telephone_number": "605-394-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOSHUA",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "A.T.C., C.S.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "0107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ellingson, CRNA
• Jillian Elliott
• Kendall Marissa Elliott
• Dawn M Ellis, RPT
• Genie Marie Ellis, FNP
• Chad Elrod
• Mona Ahmed Elsayed, MD
• Michael Philip Elston, M.D.
• Empower Therapy Services LLC
• Empres at Rapid City, LLC

• Specialist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.