David Ellefsen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5673 Issued in NV

Practice address

674 N Cedar St
Elko, NV 89801-2980

Phone

(775) 738-8888

NPI assigned

Jul 4, 2007

Last updated

Mar 4, 2010By 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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1053519728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2050",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898032050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 N CEDAR ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012980",
            "telephone_number": "775-738-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEFSEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elko Family Wellness Center (Barbara J. Stoll, LCSW, PLLC)
• Elko Rehabilitation Inc (Elko Physical Therapy)
• Elko Replenish Med Spa
• Elko Spine & Rehabilitation Institute
• Elko Womens Wellness-Gary D.Wright M.D. P.C.
• Carrissa A Ellis
• Ellsworth Cox NV Specialty Dental Services, PLLC (Children's Dentistry of Elko)
• Erich V. Mattern M.D. Professional Corporation (Family Medical Clinic)
• Chelsea Denise Erquiaga
• Amy Estrada

• General Practice Dentistry in Elko, NV
• Providers in Elko, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.