Ellis Endodontics, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ELLIS ENDODONTICS, PA

Practice address

303 Longmire Rd Unit 901
Conroe, TX 77304-2101

Phone

(936) 760-2222

Fax

(936) 760-2233

NPI assigned

Jan 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Brant Ellis, DDS, MSCD

Title

Doctor-Owner

Phone

(832) 452-3169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547856000000",
    "number": "1285108563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 901",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042101",
            "telephone_number": "936-760-2222",
            "fax_number": "936-760-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LONGMIRE RD UNIT 901",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042101",
            "telephone_number": "936-760-2222",
            "fax_number": "936-760-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS ENDODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "BRANT",
        "authorized_official_title_or_position": "DOCTOR-OWNER",
        "authorized_official_telephone_number": "832-452-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSCD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jay Elders, MD
• Colleen Bridget Eldredge, COTA
• Elevated Pathways LLC
• Eliseo Cummings, D.C. (Rice Chiropractic Clinic)
• Jamie Eller, DO
• Gregory Ellis, DDS, MSCD
• Tiffany D Ellis, LPC
• Tracey L Ellis, APRN
• Ayodeji Elusoji
• Meagan A Elzner, LPC

• Endodontics in Conroe, TX
• Providers in Conroe, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.