Danny Ray Eller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4896 Issued in NC

Practice address

449 Meadowlark St
Shaw a F B, SC 29152-5020

Phone

(803) 895-6108

NPI assigned

Nov 10, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114908654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 GINGKO DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502343",
            "telephone_number": "803-464-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MEADOWLARK ST",
            "city": "SHAW A F B",
            "state": "SC",
            "postal_code": "291525020",
            "telephone_number": "803-895-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "DANNY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johari Curtis, LICSW
• Cody K Darrington, DO
• Shanon Dean, LISW-CP
• Dominic Anthony Defrancis, M.D.
• Jennifer Dawn Dukette, PHARM. D
• Faith Wellness Factory LLC
• Caroline Ligon Ferguson, ATC, SCAT
• Leslie Marie Filler, DNP, APRN, FNP-BC
• Angelique Stacey Ann Forrester, MD
• Nathaniel Frisch, PA

• General Practice Dentistry in Shaw AFB, SC
• Providers in Shaw AFB, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.