Individual provider Active NPI

Aaron Chad Ellett, D.M.D.

  • General Practice Dentistry
  • Spartanburg, SC
National Provider Identifier
1821140385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3523 Issued in SC
Practice address
460 Saint Andrew'S St
Spartanburg, SC 29306
Phone
(864) 582-3031
Fax
(864) 582-1621
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3523 SC Primary

Addresses

Primary practice location

460 Saint Andrew'S St
Spartanburg, SC 29306

Mailing address

460 Saint Andrews Street
Spartanburg, SC 29306
Phone (864) 582-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728000455 SC Order and Referring Only - DentistPractitioner - Dentist 3274826235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821140385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT ANDREWS STREET",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-582-3031",
            "fax_number": "864-582-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT ANDREW'S ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-582-3031",
            "fax_number": "864-582-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLETT",
        "first_name": "AARON",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.