Individual provider Active NPI

Jared Scott Ellinger, DDS

  • General Practice Dentistry
  • Coldwater, MI
National Provider Identifier
1487146494
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600815 Issued in MI
Practice address
87 Marshall St
Coldwater, MI 49036-1629
Phone
(517) 278-8289
Fax
(419) 463-9024
NPI assigned
Jun 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025377 OH
General Practice Dentistry 1223G0001X 2901600815 MI Primary

Addresses

Primary practice location

87 Marshall St
Coldwater, MI 49036-1629

Mailing address

87 Marshall St
Coldwater, MI 49036-1629
Phone (517) 278-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30025377OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jared S Ellinger DDS PLLC General Practice CurrentSince Mar 16, 2021 Accepting new patients
Anthony a Nigro DMD & Associates Inc General Practice PastSince Mar 11, 2025 Accepting new patients

Locations

50 Grand St
Coldwater, MI 49036
Phone (517) 278-8289

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1487146494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361629",
            "telephone_number": "517-278-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361629",
            "telephone_number": "517-278-8289",
            "fax_number": "419-463-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGER",
        "first_name": "JARED",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025377",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.