Ellen S McOmie, MDM

Primary specialty

DentistTaxonomy code 122300000X

License

7522 Issued in TN

Practice address

5999 Shallowford Rd
Chattanooga, TN 37421-1683

Phone

(423) 899-1112

Fax

(423) 899-1125

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

• McOmie Family Dentistry

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1578234662
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124128632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 SOLITUDE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161470",
            "telephone_number": "423-326-1803",
            "fax_number": "423-899-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211683",
            "telephone_number": "423-899-1112",
            "fax_number": "423-899-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMIE",
        "first_name": "ELLEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carmichael McMorrow, RPH
• Patrick J McNamara, DDS
• Ryan S McNamara, MD
• Melissa D McNew, CFO
• McOmie Family Dentistry
• Mark D McOmie, MDM
• Amiko McPherson, LPC-MHSP
• Garth D McPherson, MD
• James R McPherson, D.D.S.
• Nikki McPherson, LCSW

• All providers in Chattanooga, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.