Amanda Elling DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMANDA ELLING DDS PLLC

Doing business as

Elkhart Dental

Practice address

313 W Parker St Ste a
Elkhart, TX 75839-7612

Phone

(903) 764-5531

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Leigh Elling, DDSNPI 1386139541

Title

Owner

Phone

(903) 764-5531

Specialties & licenses 1

Addresses

Other names 1

• Elkhart Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Elling, DDS

  • General Practice Dentistry
  • Elkhart, TX
  • NPI 1386139541
  NPD Authorized official
• Fred Hernandez Jr., DDS

  • General Practice Dentistry
  • Palestine, TX
  • NPI 1740664432
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1962989194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 AN COUNTY ROAD 133",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758396104",
            "telephone_number": "817-709-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W PARKER ST STE A",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758397612",
            "telephone_number": "903-764-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA ELLING DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "ELLING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-764-5531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Barnett
• Larry Burch, D.O.
• Shandi Renee Cameron
• Charles H Stanton (Elkhart Pharmacy)
• Kristina Rena Clark, MED, BCBA, LBA

• Dental Clinic/Center in Elkhart, TX
• Providers in Elkhart, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.