Ellis I Rogers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1734 Issued in AZ

Legal business name

ELLIS I ROGERS, D.D.S.

Practice address

312 N Alma School Rd
Ste. 1
Chandler, AZ 85224-4354

Phone

(480) 963-5821

Fax

(480) 963-8239

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ellis I Rogers, D.D.S.

Title

President

Phone

(480) 963-5821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184798100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD",
            "address_2": "STE. 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "480-963-5821",
            "fax_number": "480-963-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD",
            "address_2": "STE. 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "480-963-5821",
            "fax_number": "480-963-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS I ROGERS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-963-5821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "339776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elkins
• Mohamed Elkotb, M.D.
• Ntozake' D'Onne Kweisi Mfume Ellens-Taylor, BA, RBT
• Elliot Dental Corporation
• Anita W Elliott, DDS
• Hannah Ellis
• Clinton Ellsworth, PHARMD
• Duane Ellsworth, D.O.
• Paige Ellsworth, NP
• Tiffany Ellsworth, RN

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.