Individual provider Active NPI

Ellen G. Nist, DDS, MS

  • Endodontics
  • Zanesville, OH
National Provider Identifier
1659599116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18992 Issued in OH
Practice address
3555 Cliffhanger Way
Zanesville, OH 43701-6420
Phone
(740) 450-3636
Fax
(740) 450-8321
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 18992 OH Primary

Addresses

Primary practice location

3555 Cliffhanger Way
Zanesville, OH 43701-6420

Mailing address

3555 Cliffhanger Way
Zanesville, OH 43701-6420
Phone (740) 450-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426001988 OH Order and Referring Only - DentistPractitioner - Dentist 3971802927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659599116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CLIFFHANGER WAY",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016420",
            "telephone_number": "740-450-3636",
            "fax_number": "740-450-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CLIFFHANGER WAY",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016420",
            "telephone_number": "740-450-3636",
            "fax_number": "740-450-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIST",
        "first_name": "ELLEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "18992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.