Dennis William Ellis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3671 Issued in NC

Practice address

88 Vilcom Ctr
Suite # 190
Chapel Hill, NC 27514-1660

Phone

(919) 968-9806

NPI assigned

Jan 2, 2007

Sex

Male

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dennis W Ellis, DDS, PA

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1275740854
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1275690299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VILCOM CTR",
            "address_2": "SUITE # 190",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141660",
            "telephone_number": "919-968-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 VILCOM CTR",
            "address_2": "SUITE # 190",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141660",
            "telephone_number": "919-968-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer H Eller, LCSW
• Scott M Elliott, PA-C
• Zachary Tomas Elliott, MD
• Angela Gail Ellis, D.D.S, P.A.
• Corey Ellis
• Maria Ellis
• Mary Hannah Ellis, MS, CRC, LPCA
• Patrick S Ellsworth, MD
• Mohammed A Elmergawi, M.D.
• Caroline Thomas Elmore

• Dentist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.