Individual provider Active NPI

Ellis Shwarts, D.D.S.

  • Dentist
  • Richardson, TX
National Provider Identifier
1073067534
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32122 Issued in TX
Practice address
375 Municipal Dr Ste 114
Richardson, TX 75080
Phone
(972) 437-6035
NPI assigned
Aug 12, 2016
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32122 TX Primary

Addresses

Primary practice location

375 Municipal Dr Ste 114
Richardson, TX 75080

Mailing address

375 Municipal Dr Ste 114
Richardson, TX 75080-3543
Phone (972) 437-6035

Other practice location 1

580 Decker Dr Ste 275
Irving, TX 75062
Phone (972) 579-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32122TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Shwarts Dental PLLC CurrentSince Jul 16, 2023 Accepting new patients
PHD Las Colinas, PLLC Past Accepting new patients

Locations

7522 Campbell Rd
Ste 120
Dallas, TX 75248
Phone (972) 248-8525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1073067534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR STE 114",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803543",
            "telephone_number": "972-437-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR STE 114",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "972-437-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Decker Dr Ste 275",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75062",
            "country_code": "US",
            "telephone_number": "972-579-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHWARTS",
        "first_name": "ELLIS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.