NPIMap

Organization Active NPI

Ellis Dentistry LLC

  • Dental Clinic/Center
  • Huntsville, AL
National Provider Identifier
1053068064
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELLIS DENTISTRY LLC
Practice address
1101 Gleneagles Dr SW
Huntsville, AL 35801-6405
Phone
(256) 881-4441
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Dr. Sarah Schmidt Ellis, DMDNPI 1285921510
Title
Dentist/Owner
Phone
(256) 881-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1101 Gleneagles Dr SW
Huntsville, AL 35801-6405

Mailing address

1603 Sandlin Ave SE
Huntsville, AL 35801-2067
Phone (256) 881-4441

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DRE@sarahellisdentistry.com Stanley M. O'Donnell DMD, PC

National Provider Directory

National Provider Directory

Locations

1101 Gleneagles Dr SW
Huntsville, AL 35801
Phone (256) 881-0024

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1053068064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SANDLIN AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012067",
            "telephone_number": "256-881-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016405",
            "telephone_number": "256-881-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "SCHMIDT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-881-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DRE@sarahellisdentistry.com",
            "affiliation": "Y",
            "affiliationName": "Stanley M. O'Donnell DMD, PC",
            "address_1": "1101 Gleneagles Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.