NPIMap

Organization Active NPI

James W Ellis DDS PC

  • General Practice Dentistry
  • Ogden, UT
National Provider Identifier
1750527826
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5664249 Issued in UT
Legal business name
JAMES W ELLIS DDS PC
Practice address
1220 33Rd St
Suite C
Ogden, UT 84403-1378
Phone
(801) 394-4519
Fax
(801) 394-4551
NPI assigned
Dec 19, 2008
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
James W Ellis, DDSNPI 1417953431
Title
Dentist
Phone
(801) 394-4519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5664249 UT Primary

Addresses

Primary practice location

1220 33Rd St
Suite C
Ogden, UT 84403-1378

Mailing address

1220 33Rd St
Suite C
Ogden, UT 84403-1378
Phone (801) 394-4519

Other identifiers 1

IdentifierTypeStateIssuer
044625126002MedicaidUT

National Provider Directory

National Provider Directory

Locations

1220 33rd St
Ste C
Ogden, UT 84403
Phone (801) 394-4519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1750527826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 33RD ST",
            "address_2": "SUITE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031378",
            "telephone_number": "801-394-4519",
            "fax_number": "801-394-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 33RD ST",
            "address_2": "SUITE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031378",
            "telephone_number": "801-394-4519",
            "fax_number": "801-394-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W ELLIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-394-4519",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5664249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044625126002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.