Organization Active NPI

Rodney H. Ellison, DDS, PS

  • Dental Clinic/Center
  • Yakima, WA
National Provider Identifier
1851545768
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5351 Issued in WA
Legal business name
RODNEY H. ELLISON, DDS, PS
Practice address
314 S 12TH Ave
Suite 1
Yakima, WA 98902-3149
Phone
(509) 452-6761
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Rodney Howden Ellison, D.D.S.
Title
Owner
Phone
(509) 452-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5351 WA Primary

Addresses

Primary practice location

314 S 12TH Ave
Suite 1
Yakima, WA 98902-3149

Mailing address

314 S 12TH Ave
Suite 1
Yakima, WA 98902-3149

National Provider Directory

National Provider Directory

Locations

314 S 12th Ave
Ste 1
Yakima, WA 98902
Phone (509) 452-6761

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1851545768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S 12TH AVE",
            "address_2": "SUITE 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 12TH AVE",
            "address_2": "SUITE 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023149",
            "telephone_number": "509-452-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY H. ELLISON, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "HOWDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-452-6761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.