Todd Brian Elliott, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3463 Issued in SC

Practice address

111 Professional Ave
West Columbia, SC 29169-4711

Phone

(803) 796-0666

Fax

(803) 796-8753

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Male

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

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.

• Dr. George H. Fann, D.M.D., P.a.

  • Dentist
  • West Columbia, SC
  • NPI 1013256627
  NPD (past) Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1326387929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-796-0666",
            "fax_number": "803-796-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-796-0666",
            "fax_number": "803-796-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TODD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Barrett Ekman, PA-C
• Brian M Elias, DPM
• Elizabeth Rummel Counseling LLC
• Kristen Leigh Ellenburg, OTR/L
• Jenna R Elliott, PT
• Ellis Physical Therapy Associates, Inc
• Jennifer Robin Ellisor, RPH, PHARMD
• Walter Gerald Ellisor, RPH
• Howard N Ellstrom, CRNA
• Emeritus Corporation (Lexington Gardens Assisted Living Community)

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.