Active NPI
Amy Ellingson, D.D.S.
- General Practice Dentistry
- New Rockford, ND
National Provider Identifier
1962842740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2156
- Practice address
- 708 1St Ave N
New Rockford, ND 58356-1903 - Phone
- (701) 947-2354
- Fax
- (701) 947-2356
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2156 | ND | Primary |
Addresses
Primary practice location
708 1St Ave N
New Rockford, ND 58356-1903
Mailing address
708 1St Ave N
New Rockford, ND 58356
Phone (701) 947-2354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2156 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James River Dentistry, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- New Rockford, ND
- NPI 1588876759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1962842740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 1ST AVE N",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "58356",
"telephone_number": "701-947-2354",
"fax_number": "701-947-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 1ST AVE N",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561903",
"telephone_number": "701-947-2354",
"fax_number": "701-947-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSON",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2023-05-12",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rockford, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.