Ellis K. List, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5687 Issued in NC

Legal business name

ELLIS K. LIST, D.D.S., P.A.

Practice address

1014 Lamond Ave
Durham, NC 27701-2021

Phone

(919) 682-5327

Fax

(919) 688-4588

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ellis Knox List, D.D.S.NPI 1114921764

Title

President

Phone

(919) 682-5327

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellis Knox List, D.D.S.

  • General Practice Dentistry
  • Durham, NC
  • NPI 1114921764
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1821124256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 LAMOND AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012021",
            "telephone_number": "919-682-5327",
            "fax_number": "919-688-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 LAMOND AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012021",
            "telephone_number": "919-682-5327",
            "fax_number": "919-688-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS K. LIST, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "LIST",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "KNOX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-682-5327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott & Elliott Enterprise,LLP
• Amy F. Elliott, LPC
• David Michael Elliott, MD, PHD
• Richard Ryland Elliott, CRNA
• Scotty A Elliott, LCSW
• Adrienne Michele Ellis
• Caryn Ellis, OT
• Emily Dickson Ellis
• Kayley Ellis
• Mary Claire Ellis, MD, MPH

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.