Ella Thaxton, RDH, CTTS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1572 Issued in WV

Practice address

1448 10TH Ave
Huntington, WV 25701-3581

Phone

(304) 529-0753

NPI assigned

Jun 12, 2023

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

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 and National Provider Directory roles.

• Ebenezer Medical Outreach Inc

  • Clinic Pharmacy
  • Huntington, WV
  • NPI 1558796326
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1477237337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "MILLWOOD",
            "state": "WV",
            "postal_code": "252620103",
            "telephone_number": "304-539-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013581",
            "telephone_number": "304-529-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "ELLA",
        "credential": "RDH, CTTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WV",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Thacker, PHARMD
• Noah N Thacker
• Shelby S Thacker
• Amrit Anand Thakur, MD
• Subigya Thapa
• Martha Thaxton
• Kristine Jane Thayer, M.D.
• The Center for Pediatric Neuropsychology & Behavioral Health, PLLC
• The Shepherd'S House a Recovery Program
• The Therapy Center, Inc.

• Dental Hygienist in Huntington, WV
• Providers in Huntington, WV by specialty
• Dental Hygienist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.