Ellen E Justus, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.026341 Issued in OH

Practice address

875 Westmoreland Ave
Napoleon, OH 43545-4354

Phone

(877) 216-9296

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1265038228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 WINTHROP CT",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391468",
            "telephone_number": "419-602-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESTMORELAND AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435454354",
            "telephone_number": "877-216-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Winthrop Ct",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "OH",
            "postal_code": "448391468",
            "country_code": "US",
            "telephone_number": "419-602-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "ELLEN",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinie Johnson, LPN
• Nola Aurora Johnson, LPN
• Bruce Jones, QMHS
• Dennis Arthur Jones, R.PH.
• Kathy Jones, MS, CCC-SLP
• Kevin Kaplan, LSW
• Richard Kauzlick, LSW
• Mohamed Kazbour, DDS
• Shannon Renae Keiser, DDS
• Anthony John Kestranek, D.M.D

• General Practice Dentistry in Napoleon, OH
• Providers in Napoleon, OH by specialty
• General Practice Dentistry in Ohio

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