NPIMap

Organization Active NPI

Ellashek Dental LLC

  • Dentist
  • Canfield, OH
National Provider Identifier
1750774287
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.015819 Issued in OH
Legal business name
ELLASHEK DENTAL LLC
Practice address
3665 Stutz Dr
Canfield, OH 44406-9144
Phone
(330) 702-8500
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. James Ellashek, DDS
Title
President
Phone
(330) 702-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.015819 OH Primary

Addresses

Primary practice location

3665 Stutz Dr
Canfield, OH 44406-9144

Mailing address

3665 Stutz Dr
Canfield, OH 44406-9144
Phone (330) 702-8500

National Provider Directory

National Provider Directory

Locations

3665 Stutz Dr
Canfield, OH 44406
Phone (330) 702-8500

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1750774287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 STUTZ DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069144",
            "telephone_number": "330-702-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 STUTZ DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069144",
            "telephone_number": "330-702-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLASHEK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "ELLASHEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-702-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.015819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.