Ennis Ave. PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ENNIS AVE. PLLC

Doing business as

Camelot Dental

Practice address

710 W Ennis Ave
Ennis, TX 75119-3808

Phone

(916) 897-6682

NPI assigned

May 14, 2014

Last updated

May 14, 2014By 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

John Meekay, D.D.S.NPI 1992953236

Title

Managing Member

Phone

(916) 897-6682

Specialties & licenses 1

Addresses

Other names 1

• Camelot Dental Doing business as

Locations

Practitioners 1

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.

• John H Meekay, DMD

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1992953236
  Authorized official Same address or phone

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1053722884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193808",
            "telephone_number": "916-897-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS AVE. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MEEKAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-897-6682",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Ely
• Emmanuel E Sackey MD, PA (dba Ennis Childrens Clinic)
• Encompass Anesthesia Partners LLC
• Encore ASC, LLC
• Ennis Anesthesia Associates PLLC
• Ennis Dental PLLC
• Ennis Diagnostic Center, Inc. (Elite Medical Supply)
• Ennis Family Dentistry PLLC (Ennis Family Dentistry & Orthodontics)
• Ennis Healthcare Systems Inc
• Ennis Heart Center, PA

• General Practice Dentistry in Ennis, TX
• Providers in Ennis, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.