Ellyn Marie Harper Lawson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417155 Issued in VA

Practice address

3615 Brambleton Ave
Roanoke, VA 24018-3611

Phone

(540) 772-9373

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellyn Marie Harper Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roller & Johnson Dentistry. P.C

  • Dentist
  • Roanoke, VA
  • NPI 1124702642
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1720672132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 GRAPE HOLLY LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185927",
            "telephone_number": "304-290-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183611",
            "telephone_number": "540-772-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER LAWSON",
        "first_name": "ELLYN",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4483",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYN",
            "last_name": "HARPER",
            "middle_name": "MARIE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madison Gray Harmon, PA-C
• Emma Harms
• Cheryl L Harner, SLP
• Kathy Harness, LPTA, CMT
• Kathleen Jeanne Marie Harnois, M.D.
• Stephanie Lynne Harper, MD
• Gary Joe Harpold, MD
• Chad Harrell
• Rhonda Harrell, M.S.
• Andrea D Harrelson, NP

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.