Ellsworthbeckham PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELLSWORTHBECKHAM PLLC

Doing business as

OnCall Dental

Practice address

5940 W Union Hills Dr
Ste F110
Glendale, AZ 85308-1308

Phone

(602) 863-7692

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ELLSWORTHBECKHAM PLLCAs reported in NPPES

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

Authorized official

Name

Ty Ellsworth

Title

Owner

Phone

(602) 863-7692

Specialties & licenses 1

Addresses

Other names 1

• OnCall Dental Doing business as

Part of

Ellsworthbeckham PLLC

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1871036426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR",
            "address_2": "STE F110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-863-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR",
            "address_2": "STE F110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-863-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTHBECKHAM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLSWORTHBECKHAM PLLC",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-863-7692"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnCall Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee M Ellis
• Tanya Shawn Ellis, MD
• Vonda Lanete Ellis
• Alexandria Louise Ellsworth, CF-SLP
• Charly Ellsworth, PHARMD
• Taegan Elmer, LPC, MC
• Cindy Elms, RD
• David J Elsasser, PT
• Ciara Ely, RN
• William David Elza, DMD

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, 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 Nov 30, 2016; 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.