Nathen Ellis DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9294 Issued in NC

Legal business name

NATHEN ELLIS DDS PLLC

Practice address

7206 Austin Smiles CT
Suite 103
Denver, NC 28037-0500

Phone

(704) 908-6969

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nathen Joseph Ellis, D.D.SNPI 1487916557

Title

Owner

Phone

(704) 908-6969

Specialties & licenses 1

Addresses

Other names 1

• Denver Dental Arts Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathen J Ellis, DDS

  • Dentist
  • Denver, NC
  • NPI 1487916557
  NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1194174680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 AUSTIN SMILES CT",
            "address_2": "SUITE 103",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370500",
            "telephone_number": "704-908-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 AUSTIN SMILES CT",
            "address_2": "SUITE 103",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370500",
            "telephone_number": "704-908-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHEN ELLIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "NATHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-908-6969",
        "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": "NC",
            "license": "9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlee Nicole Myers
• Nahi Nadra
• Wissam Edward Nadra, M.D.
• Tara Ghatge Nagaraja
• Scott Nagel, D.M.D.
• Laura Eileen Needham, DPT
• Albi Ngjelo, DMD
• Shannon Nichols
• Nicole Wells DDS PLLC
• Brian Scott Nishek, OD

• General Practice Dentistry in Denver, NC
• Providers in Denver, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.