Organization Active NPI

James R Ellis DDS Inc

  • Dental Clinic/Center
  • Yuba City, CA
National Provider Identifier
1376618199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D21563 Issued in CA
Legal business name
JAMES R ELLIS DDS INC
Practice address
745 Plumas St
Yuba City, CA 95991
Phone
(530) 671-9240
Fax
(530) 671-1098
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Richard Ellis, DDS
Title
President
Phone
(530) 671-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D21563 CA Primary

Addresses

Primary practice location

745 Plumas St
Yuba City, CA 95991

Mailing address

745 Plumas St
Or P. O. Box Z
Yuba City, CA 95991-4437
Phone (530) 671-9240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376618199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 PLUMAS ST",
            "address_2": "OR P. O. BOX Z",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914437",
            "telephone_number": "530-671-9240",
            "fax_number": "530-671-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 PLUMAS ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-671-9240",
            "fax_number": "530-671-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R ELLIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-671-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.