Cole G. Ellis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29817 Issued in CA

Practice address

4490 Fanuel St
#D
San Diego, CA 92109-4292

Phone

(858) 274-9116

Fax

(858) 274-9161

NPI assigned

Mar 7, 2007

Last updated

Apr 3, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1578694212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 FANUEL ST",
            "address_2": "#D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098737",
            "telephone_number": "858-274-9116",
            "fax_number": "858-274-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 FANUEL ST",
            "address_2": "#D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094292",
            "telephone_number": "858-274-9116",
            "fax_number": "858-274-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "COLE",
        "middle_name": "G.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC18323A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Ellis, PSYD
• Angela Ellis, DO
• Brynn L. Ellis
• Charles Ellis
• Christina Ellis, PSYD
• Danielle Ellis, NONE
• Donna Jill Ellis, M.D.
• Erica Ellis
• Gina L Ellis, LMP, MMT, LMT
• Jason Ellis, D.C.

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.