Alexandria Thompson Ellzey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11656 Issued in TN

Practice address

3030 Covington Pike Ste 150
Memphis, TN 38128-5041

Phone

(901) 310-1441

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1811569692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 OLD FOREST RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253058",
            "telephone_number": "901-652-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE STE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285041",
            "telephone_number": "901-310-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5144 Riverdale Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381410271",
            "country_code": "US",
            "telephone_number": "901-530-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLZEY",
        "first_name": "ALEXANDRIA",
        "middle_name": "THOMPSON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11656",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Ellison, MD
• Robert Ellison
• Vinkrya Ellison
• Frances Ellmo, PHD
• Rachel Loye Ellsworth
• John A Ellzey, MD
• Trevor Robert Elmitt, LAT, ATC
• Awab Kamal Mahmoud Elnaeem, M.B.,B.S.
• Mohamed Kamal Mahmoud Elnaeim, MD
• Amara Frances Elochukwu, M.D.

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.