Active NPI
Kevin Ellorin, DMD
- Dentist
- Wesley Chapel, FL
National Provider Identifier
1184302671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28324
- Practice address
- 5348 Bruce B Downs Blvd
Wesley Chapel, FL 33544-8612 - Phone
- (813) 973-1837
- NPI assigned
- Jul 6, 2023
- Last updated
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28324 | FL | Primary |
Addresses
Primary practice location
5348 Bruce B Downs Blvd
Wesley Chapel, FL 33544-8612
Mailing address
27809 Manor Oak Dr Apt 103
Wesley Chapel, FL 33544-5379
Phone (757) 348-8983
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN28324 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Current | Accepting new patients |
| Ryan R Boylan DDS PC | Past | Accepting new patients | |
| Coast Florida P.a. | Dentist | Past | Accepting new patients |
Locations
5348 County Road 581
Wesley Chapel, FL 33544
Phone (813) 973-1837
Organizations & group practices 3
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.
-
- Dentist
- Tampa, FL
- NPI 1730287673
-
- General Practice Dentistry
- Chesapeake, VA
- NPI 1417348004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1184302671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27809 MANOR OAK DR APT 103",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335445379",
"telephone_number": "757-348-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 BRUCE B DOWNS BLVD",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335448612",
"telephone_number": "813-973-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLORIN",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.