Ellen Brister Mitchell, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3880-16 Issued in MS

Practice address

1565 S Main St
Greenville, MS 38701-7005

Phone

(662) 335-1413

NPI assigned

Jun 23, 2016

Sex

Female

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

Practice roles

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

• David H. Lee DMD, Inc.

  • Dentist
  • Greenville, MS
  • NPI 1376091868
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1912358656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017005",
            "telephone_number": "662-335-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017005",
            "telephone_number": "662-335-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELLEN",
        "middle_name": "BRISTER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3880-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishita Minamareddy
• Candace Miyori Minor
• Mississippi Choice Home & Medical Equipment LLC
• Mississippi CVS Pharmacy, L.L.C.
• Mississippi State Department of Health
• MKT Transportation LLC
• Molecular Imaging Assoc PLLC
• Kiera S Monroe
• Roderick Montgomery
• Robert Stroud Moore, MA-CCC-A

• Dentist in Greenville, MS
• Providers in Greenville, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.