Zakar L Elloway, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5554 Issued in AZ

Practice address

1419 N Beaver St
Flagstaff, AZ 86001-1401

Phone

(928) 774-4640

Fax

(928) 774-4819

NPI assigned

Aug 25, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zakar L Elloway, DDS PC

  • Dental Clinic/Center
  • Flagstaff, AZ
  • NPI 1689234510
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861509523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011401",
            "telephone_number": "928-774-4640",
            "fax_number": "928-774-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011401",
            "telephone_number": "928-774-4640",
            "fax_number": "928-774-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLOWAY",
        "first_name": "ZAKAR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Elias, PA-C
• Elite UC Care LLC
• Elk Ridge Flagstaff Pharmacy
• Elk Ridge Flagstaff Pharmacy
• Kimberly A Elliott, LPCC
• Esther R Ellsworth Bowers, CNM
• Cintamani H. Ellsworth, M.S. CCC-SLP
• Susan Elowson, RN
• Lonny David Elson, NP
• April L Ely, LCSW

• General Practice Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.