Jess T Ellis DDS, Ms, Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

682 Issued in AK

Legal business name

JESS T ELLIS DDS, MS, INC

Practice address

11741 Barr Rd
Anchorage, AK 99516-2164

Phone

(907) 272-3636

Fax

(907) 272-3635

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

JESS T ELLIS DDS, MS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Jess T Ellis, DDS, MSNPI 1740430586

Title

President

Phone

(907) 272-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jess Taylor Ellis, DDS, MS

  • Endodontics
  • Anchorage, AK
  • NPI 1740430586
  Authorized official Same address or phone

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1497195119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 BARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162164",
            "telephone_number": "907-272-3636",
            "fax_number": "907-272-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 BARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162164",
            "telephone_number": "907-272-3636",
            "fax_number": "907-272-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESS T ELLIS DDS, MS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JESS T ELLIS DDS, MS, INC",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-272-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AK",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072011582976",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Keith Jeppson, DDS
• Jerry C Hu (Dba Sky LLC)
• Jerry M. Orren MD Apc
• Katherine Patricia Jerue
• Yvonne Jeschke
• Christina Maria Jess, L.AC
• Jesse J Foster DC, LLC
• Prince Jessop
• Jett Morgan Treatment Services, LLC
• Jett Morgan Treatment Services, LLC

• Endodontics in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Endodontics in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.