Earl Ellis, D.D.S., M.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

14, 622 Issued in TX

Practice address

606 Fisher St
Biloxi, MS 39534-2513

Phone

(228) 377-4510

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 22, 2017 through Nov 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831150333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 PROVENCE PL",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342513",
            "telephone_number": "228-377-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "14, 622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Elgin Elkins, M.D.
• Denise Elkins, PHARMD
• Allan Keith Elliott, RPH
• Shianne Elliott
• Tara Elliott, OTR/L
• Jonathan Edward Ellis, M.D.
• Marilyn E Ellis, NURSE PRACTITIONER
• Bryan Allen Ellsberry, OTR/L
• Kaitlyn Ellsworth
• Emeritus Corporation

• Periodontics in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Periodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.