Organization Active NPI

Dennis W Ellis, DDS, PA

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1275740854
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3671 Issued in NC
Legal business name
DENNIS W ELLIS, DDS, PA
Practice address
88 Vilcom Ctr Ste 190
Chapel Hill, NC 27514-1660
Phone
(919) 968-9806
Fax
(919) 968-7799
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Dennis W Ellis, DDSNPI 1275690299
Title
President
Phone
(919) 968-9806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3671 NC Primary

Addresses

Primary practice location

88 Vilcom Ctr Ste 190
Chapel Hill, NC 27514-1660

Mailing address

88 Vilcom Ctr Ste 190
Chapel Hill, NC 27514-1660
Phone (919) 968-9806

National Provider Directory

National Provider Directory

Locations

88 Vilcom Center Dr
Ste 190
Chapel Hill, NC 27514
Phone (919) 968-9806

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1275740854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VILCOM CTR STE 190",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141660",
            "telephone_number": "919-968-9806",
            "fax_number": "919-968-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 VILCOM CTR STE 190",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141660",
            "telephone_number": "919-968-9806",
            "fax_number": "919-968-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS W ELLIS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-968-9806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.