Rodney Howden Ellison, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

27985 Issued in CA

Practice address

1826 Granger Way
Saint Helena, CA 94574-1765

Phone

(707) 474-2021

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Aurina Poh-Matacio, DDS, Inc

  • General Practice Dentistry
  • Saint Helena, CA
  • NPI 1336475680
  NPD (past)
• Darleen H Hemerlin DDS Inc

  • Dentist
  • Saint Helena, CA
  • NPI 1023216124
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1316036775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 GRANGER WAY",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741765",
            "telephone_number": "707-474-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 GRANGER WAY",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741765",
            "telephone_number": "707-474-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "RODNEY",
        "middle_name": "HOWDEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Duge, MD
• Gansevoort Hurlbut Dunnington Jr., M.D.
• Devin Duong, PHARM.D.
• Mary Jane Dylla, MD
• Susan Judith Eisenberg, M.D.
• Elizabeth Jane Ellsworth, M.F.T.
• Eric Lee, MD Mba Inc
• Carl Boyer Ermshar Jr., M.D.
• Ann Marie Ernish, DC
• Robert Edward Erwin, M.D.

• Dentist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.