Active NPI
Allison Clare Everett Elston, D.D.S.
- General Practice Dentistry
- Grosse Pointe, MI
National Provider Identifier
1285080143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901021838
- Practice address
- 18100 Mack Ave
Grosse Pointe, MI 48230-6252 - Phone
- (313) 884-6680
- NPI assigned
- May 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.030996 | IL | |
| General Practice Dentistry | 1223G0001X | 2901021838 | MI | Primary |
Addresses
Primary practice location
18100 Mack Ave
Grosse Pointe, MI 48230-6252
Mailing address
18100 Mack Ave
Grosse Pointe, MI 48230-6252
Phone (313) 884-6680
Other practice location 1
2062 N Milwaukee Ave
Chicago, IL 60647-7448
Phone (773) 384-3500
Other practice location 2
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-3678
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 |
|---|---|---|---|
| 019.030996 | IL | MD | General Practice Dentistry |
| 2901021838 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Pointe Dental PC | Current | Accepting new patients | |
| Young Esthetics | Past | Accepting new patients | |
| James a Everett DDS PC | General Practice | Past | Accepting new patients |
Locations
18100 Mack Ave
Grosse Pointe, MI 48230
Phone (313) 884-6680
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Grosse Pointe, MI
- NPI 1851941041
-
- General Practice Dentistry
- Grosse Pointe, MI
- NPI 1043367675
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1700241312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1285080143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18100 MACK AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482306252",
"telephone_number": "313-884-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18100 MACK AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482306252",
"telephone_number": "313-884-6680"
}
],
"practiceLocations": [
{
"address_1": "2062 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606477448",
"country_code": "US",
"telephone_number": "773-384-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-3678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSTON",
"first_name": "ALLISON",
"middle_name": "CLARE EVERETT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.030996",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901021838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.