Sheryl Brady Ely, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16327 Issued in FL

Practice address

4140 NW 27TH LN Ste H
Gainesville, FL 32606-6600

Phone

(352) 373-7373

Fax

(352) 377-1225

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Ely @ Thomson PA

  • General Practice Dentistry
  • Gainesville, FL
  • NPI 1528053923
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1275789083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN STE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066600",
            "telephone_number": "352-373-7373",
            "fax_number": "352-377-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN STE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066600",
            "telephone_number": "352-373-7373",
            "fax_number": "352-377-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "SHERYL",
        "middle_name": "BRADY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elswick, ARNP, CNM
• Amira Eltantawy
• Amanda Elwell
• Mary Elwood
• Ely @ Thomson PA
• Dale Ashby Elzie, LCSW
• Carolina Stephanie Emanuels, M.D.
• Ember Counseling LLC
• Embrace Group Home
• Embrace Home and Companion Services LLC

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.