Frank Mark Ellero, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011036 Issued in MI

Practice address

4151 17 Mile Rd
Suite #E
Sterling Heights, MI 48310-6866

Phone

(586) 977-0300

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Viraj Shah PLLC

  dba Integrity Dental

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1215675269
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427139112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 17 MILE RD",
            "address_2": "SUITE #E",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106866",
            "telephone_number": "586-977-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 17 MILE RD",
            "address_2": "SUITE #E",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106866",
            "telephone_number": "586-977-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERO",
        "first_name": "FRANK",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Ellis
• Davanique Ellis
• Erica S Ellis
• Michelle Ellis, PT
• Rana Elsamadouny

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.