Dr. Ellis & Associates, D.D.S., of Hopewell, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. ELLIS & ASSOCIATES, D.D.S., OF HOPEWELL, PLLC

Doing business as

Ellis Family Dentistry

Practice address

3416 Woodlawn St
Hopewell, VA 23860-4738

Phone

(804) 458-6733

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing Manager

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Ellis Family Dentistry Doing business as

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1326610221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 WOODLAWN ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238604738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 WOODLAWN ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238604738",
            "telephone_number": "804-458-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELLIS & ASSOCIATES, D.D.S., OF HOPEWELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Reid Dawson, LPC
• Mary Kristine Sungahid Dela Cruz, PT
• Kristin Denise Dibler, MSW
• Brooke Glasscock Dimaio, M.S. OTR/L
• District 19 Community Service Board
• Abdul W Durrani, MD
• Anne Eady, PA
• Eagle Eye Cleaning Services
• Holly Edens, PBSF
• Elizabeth Anne Edwards, SPEECH PATHOLOGIST

• Dentist in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.