NPIMap

Organization Active NPI

James D. Ellis DDS LLC

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1477947976
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6920 Issued in NE
Legal business name
JAMES D. ELLIS DDS LLC
Practice address
12100 W Center Rd
Ste 521
Omaha, NE 68144-3969
Phone
(402) 333-3343
Fax
(402) 333-3344
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
James D. Ellis, DDSNPI 1598963647
Title
Owner/Manager
Phone
(402) 333-3343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6920 NE Primary

Addresses

Primary practice location

12100 W Center Rd
Ste 521
Omaha, NE 68144-3969

Mailing address

12100 W Center Rd
Ste 521
Omaha, NE 68144-3969
Phone (402) 333-3343

National Provider Directory

National Provider Directory

Locations

12100 W Center Rd
Ste 521
Omaha, NE 68144
Phone (402) 333-3343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1477947976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 W CENTER RD",
            "address_2": "STE 521",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443969",
            "telephone_number": "402-333-3343",
            "fax_number": "402-333-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 W CENTER RD",
            "address_2": "STE 521",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443969",
            "telephone_number": "402-333-3343",
            "fax_number": "402-333-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. ELLIS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "402-333-3343",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.