DR. NORMAN IVAN ELLOWAY (NPI# 1265558332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265558332 |
| Entity Type | Individual |
| Full Name | DR. NORMAN IVAN ELLOWAY |
| Credential | D.D.S. |
| Practice Address |
1316 Grant Ave Novato CA 94945-3100 |
| Practice Telephone | 4158978338 |
| Practice Fax Number | 4158974729 |
| Mailing Telephone | 4158978338 |
| Mailing Fax Number | 4158974729 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
$$$$$$$$$ | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D21984 | CA | Dental Providers |
| Street Address |
1316 GRANT AVE |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306013495 | Norman I. Elloway D.d.s | Preferred Provider Organization | 1316 Grant Ave, Novato, CA 94945-3100 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311935 | Sara Kwong | Dentist | 1805 Novato Blvd Ste 4, Novato, CA 94947-2934 | 2018-06-25 |
| 1609161652 | Kulyk Dental Corporation | Dentist | 1744 Novato Blvd Ste 110, Novato, CA 94947-3092 | 2011-06-17 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| 1619194834 | Jonathan Maclean | Dentist | 208 Vintage Way, Suite K23, Novato, CA 94945-5014 | 2007-04-19 |
| 1083732499 | M Paul Schafer | Dentist | 896 Sutro Ave, Novato, CA 94947-2040 | 2007-03-26 |
| 1073650578 | Matthew Menasco | Dentist | 1615 Hill Rd Ste A, Novato, CA 94947-4338 | 2007-01-31 |
| 1295898245 | Theodore Rist Jr. | Dentist | 1730 Novato Blvd Ste F, Novato, CA 94947-3048 | 2006-12-19 |
| 1396812731 | Clayton Joseph Perry | Dentist | 7460 Redwood Blvd, Novato, CA 94945-2457 | 2006-11-29 |
| 1831273143 | Myron Lee Donesky | Dentist | 7250 Redwood Blvd, Suite 210, Novato, CA 94945-3268 | 2006-10-24 |
| 1154405355 | Steve L Mcconnell | Dentist | 1730 Novato Blvd Ste A, Novato, CA 94947-3048 | 2006-10-24 |
| Find all providers in NOVATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.