Active NPI
Ellen Macdonald, DDS
- Endodontics
- Denver, CO
National Provider Identifier
1245760131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00203978
- Practice address
- 8354 E Northfield Blvd Unit 2750
Denver, CO 80238 - Phone
- (720) 895-1717
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN.00203978 | CO | Primary |
Addresses
Primary practice location
8354 E Northfield Blvd Unit 2750
Denver, CO 80238
Mailing address
1220 S Eudora St
Denver, CO 80246-3211
Phone (720) 394-1297
Other practice location 1
305 West 12th Avenue
The Ohio State University College of Dentistry
Columbus, OH 43210
Phone (614) 688-3763
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203978 | CO | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1245760131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S EUDORA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802463211",
"telephone_number": "720-394-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 E NORTHFIELD BLVD UNIT 2750",
"city": "DENVER",
"state": "CO",
"postal_code": "80238",
"telephone_number": "720-895-1717"
}
],
"practiceLocations": [
{
"address_1": "305 West 12th Avenue",
"address_2": "The Ohio State University College of Dentistry",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43210",
"country_code": "US",
"telephone_number": "614-688-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00203978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.