Zachary Ellis, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23989 Issued in TX

Practice address

5408 Frio Dr
Midland, TX 79707-2280

Phone

(432) 699-2044

NPI assigned

Sep 3, 2008

Last updated

Mar 26, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1912155979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 FRIO DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072280",
            "telephone_number": "432-699-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 FRIO DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072280",
            "telephone_number": "432-699-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Grant Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614056",
            "country_code": "US",
            "telephone_number": "432-699-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 N Main St",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "TX",
            "postal_code": "797143649",
            "country_code": "US",
            "telephone_number": "432-699-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Family Practice LLC
• Elite Safety Solutions PLLC
• Mark Ryan Elliott, PA
• Brandalyn Ellis
• Linda Gayle Ellis, LCSW
• Stephen C Ellison, LCDC
• Abbie Jordan Elphick
• Elvira C Burns, MD PA
• Emergency Physicians of Permian Basin, PLLC
• Empower Nutrition Inc.

• Pediatric Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.