Ellie M Stoddart

Primary specialty

DentistTaxonomy code 122300000X

License

30.026980 Issued in OH

Practice address

3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399

Phone

(513) 898-1194

NPI assigned

Aug 10, 2022

Last updated

Aug 29, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dentists at Hyde Park Plaza, PC, Inc

  dba Dentists at Hyde Park Plaza

  • Dentist
  • Cincinnati, OH
  • NPI 1255994463
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1770211443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NAPA VALLEY LN",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PAXTON AVE STE 12A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092399",
            "telephone_number": "513-898-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9031 US Highway 42",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410917196",
            "country_code": "US",
            "telephone_number": "859-403-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDART",
        "first_name": "ELLIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10765",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dentist",
            "affiliation": "N",
            "address_1": "3802 Paxton Ave Ste 12A",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452092399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Addison Nicole Stocksdale, LSW
• Eric Stockton, PHARM.D
• Janice Stockton, CNS
• Kaitlin Stockton
• Carolyn Stockwell
• Jennifer J Stoeckel, PH.D.
• Heather Stoess, BA
• Jenna Rae Stoffel, OD
• Mark Turpin Stoffregen, D.D.S.
• Hanna Stohlman

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.