Joshua Levi Elliss, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3482 Issued in NM

Practice address

3015 Hillrise Dr
Las Cruces, NM 88011-4703

Phone

(575) 522-0454

Fax

(575) 522-3472

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Joshua Levi Elliss Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1831419811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-522-0454",
            "fax_number": "575-522-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-522-0454",
            "fax_number": "575-522-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISS",
        "first_name": "JOSHUA",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25432",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "ELLISS",
            "middle_name": "LEVI",
            "prefix": "DR.",
            "credential": "DMD LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Robert Christopher Ellis, LPCC
• Veronica Ellis, LPN
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• Katherine Emerick, CNP
• Denise Emery, LCSW
• Osasere Emovon

• Dentist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.