Michael Brandon Elliott, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN17544 Issued in FL

Practice address

321 8TH St
West Palm Beach, FL 33401-3309

Phone

(561) 832-1781

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1972545432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 9TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013708",
            "telephone_number": "352-514-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 8TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013309",
            "telephone_number": "561-832-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17544",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "15136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anis Elkhechen, D.M.D.
• Ellie PBC2 LLC
• Elliot H Klorfein, M.D., P.a,
• Caroline Frances Elliott, MD
• Jhnell L Elliott
• Stacee L Elliott, M. ED, M.S., CCC-SLP
• Dionne Ellis
• Elliot Ellis, M.D.
• Kaitlyn Taylor Ellis, CPLD, CPPD
• Minerva Milagro Ellis, D.O.

• Endodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.