James Adair Elliott, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

14496 Issued in TX

Practice address

1007 Legacy Ranch Rd
Suite #100
Waxahachie, TX 75165

Phone

(972) 635-5151

Fax

(469) 212-1084

NPI assigned

Dec 11, 2006

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

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1679633457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LEGACY RANCH RD",
            "address_2": "SUITE #100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-635-5151",
            "fax_number": "469-212-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LEGACY RANCH RD",
            "address_2": "SUITE #100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-635-5151",
            "fax_number": "469-212-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Overton Ridge Blvd",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761321940",
            "country_code": "US",
            "telephone_number": "817-346-2503",
            "fax_number": "817-346-2815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JAMES",
        "middle_name": "ADAIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "14496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lee Holt, DO, P.a.
• Edward Lee Holt, DO, P.a.
• Amy Lynn Edwards, PA-C
• Danielle Eichhorst
• Eirini Kai Agapi
• Ellis County Children'S Advocacy Center
• Ellis County Coalition for Health Options
• Ellis County Coalition for Health Options
• Ellis County Family Dentistry PLLC
• Ellis County Hearing Clinic

• Endodontics in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.