Jason M Ellis DC PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2301008416 Issued in MI

Legal business name

JASON M ELLIS DC PLLC

Practice address

1001 Welch Rd Ste 111
Commerce Township, MI 48390-2864

Phone

(248) 779-9290

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Jason Max Ellis, D.C.NPI 1366583163

Title

Member

Phone

(248) 489-4044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Jason Max Ellis, D.C.

  • Nutrition Chiropractor
  • Michigan Center, MI
  • NPI 1366583163
  Medicare reassignment Authorized official
• Stephen Scott Tenniswood, DC

  • Chiropractor
  • Michigan Center, MI
  • NPI 1609931948
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1750564910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WELCH RD STE 111",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483902864",
            "telephone_number": "248-779-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WELCH RD STE 111",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483902864",
            "telephone_number": "248-779-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M ELLIS DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-489-4044",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301008416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip R Ison, NP
• Thomas Jacob, MD
• Erum S Jafry, DPM
• Morgan Elaine Jagiela
• Gabriela Noelani Jammoa
• Linda Karen Jedwab, OT
• Jeffrey Levitt
• Brent Jenkins, D.D.S
• Lorrie Johnsen, ATC
• Carrie Jones, CRNA

• Nutrition Chiropractor in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Nutrition Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.