Ellen M.Barnes,D.D.S.,P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ELLEN M.BARNES,D.D.S.,P.C.

Practice address

345 Sullivan Rd
Aurora, IL 60506-1465

Phone

(630) 892-3993

Fax

(630) 892-1583

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Ellen Mary Barnes, D.D.S.

Title

President

Phone

(630) 892-3993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669578308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061465",
            "telephone_number": "630-892-3993",
            "fax_number": "630-892-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061465",
            "telephone_number": "630-892-3993",
            "fax_number": "630-892-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN M.BARNES,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-892-3993",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.