Erin L Ellis, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

30-024036 Issued in OH

Practice address

230 N Eastown Rd
Lima, OH 45807-2211

Phone

(419) 228-2233

Fax

(419) 228-8152

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1366883795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072211",
            "telephone_number": "419-228-2233",
            "fax_number": "419-228-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072211",
            "telephone_number": "419-228-2233",
            "fax_number": "419-228-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ERIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ellerbrock, PT, DPT
• Megan Ellerbrock
• Michelle Ellerbrock
• Paula Michelle Ellerbrock
• Ross Ellerbrock
• Jerome C Ellis, DDS
• Joseph Christian Ellis, ADULT COMPANION
• Katie Jo Ellis, PA
• Lisa D. Ellis, NP
• Matthew Ellis, DC

• Dentist in Lima, OH
• Providers in Lima, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.