Individual provider Active NPI

Allison Clare Everett Elston, D.D.S.

  • General Practice Dentistry
  • Grosse Pointe, MI
National Provider Identifier
1285080143
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021838 Issued in MI
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

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019.030996ILMDGeneral Practice Dentistry
2901021838MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Pointe Dental PC CurrentSince Sep 25, 2019 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.

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.

Verify at the official NPI Registry.