Ellis Sleep Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELLIS SLEEP CENTER LLC

Practice address

10296 Big Bend Rd Ste 207
Saint Louis, MO 63122-6582

Phone

(314) 965-1334

Fax

(314) 965-0679

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Holly EllisNPI 1013027937

Title

Owner/Dentist

Phone

(314) 210-5150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Ellis, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1013027937
  NPD Authorized official

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1902511454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226582",
            "telephone_number": "314-965-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226582",
            "telephone_number": "314-965-1334",
            "fax_number": "314-965-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "314-210-5150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elliott
• Patricia Elliott
• Sean L Elliott, D.O.
• Susan Jane Elliott, DNP, APRN, FNP-C
• Ellis Dental LLC
• Ellis Therapy & Consulting, LLC
• Alysa Gail Ellis, MD
• Andrew James Ellis, M.D.
• Carol A Ellis, RN
• Christine M Ellis, FNP

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.