Ellison Tippitt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.037176 Issued in IL

Practice address

2727 N Oakland Ave Ste And104
Decatur, IL 62526-1586

Phone

(217) 875-4555

NPI assigned

Jun 15, 2026

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1174458707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N OAKLAND AVE STE AND104",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N OAKLAND AVE STE AND104",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261586",
            "telephone_number": "217-875-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPITT",
        "first_name": "ELLISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.037176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Thurston, LPC
• Maung Maung Tin, MD
• Lorrie Gay Tinker, M.S. CCCSLP
• Blake Tippitt
• Carla A Tippitt, OTR/L
• Leslie L Tish, SLP CF
• Kristi M Toennies, NP
• Mohammad Ali Torabi
• Gregory L Totel, M.D.
• Town & Country Pharmacies, Inc.

• Dentist in Decatur, IL
• Providers in Decatur, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.