ELLIS FAMILY ORTHODONTICS (NPI# 1326487711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326487711 |
| Entity Type | Organization |
| Organization Name | ELLIS FAMILY ORTHODONTICS |
| Practice Address |
8849 Shelby St Indianapolis IN 46227-7508 |
| Practice Telephone | 3178811161 |
| Mailing Telephone | 3178811161 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | DR. PAUL CLIFFORD ELLIS (ORTHODONTIST) |
| Authorized Official Telephone | 3178811161 |
| Authorized Official Credential | DDS MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12011479A | IN | Dental Providers |
| Street Address |
8849 SHELBY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-7508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689652976 | David Lewis Judy | Dentist | 8849 Shelby St, Ste A, Indianapolis, IN 46227-7508 | 2006-01-06 |
| 1750723854 | Paul Ellis | Dentist | 8849 Shelby St, A-1, Indianapolis, IN 46227-7508 | 2013-07-18 |
| 1417087982 | Susan Elaine Wagner | Dentist | 8849 Shelby St, A-2, Indianapolis, IN 46227-7508 | 2007-03-06 |
| 1275502692 | Insight Health Corp | Physiological Laboratory | 8849 Shelby St, Ste B1, Indianapolis, IN 46227-7508 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508376708 | Glander Rochford Orthodontics, LLC | Dentist | 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 | 2017-10-03 |
| 1063941391 | Premier Orthodontics LLC | Dentist | 8860 Zionsville Rd Ste B, Indianapolis, IN 46268-1043 | 2017-06-09 |
| 1699211169 | J. Orthodontics Inc | Dentist | 8071 Township Line Rd Ste 100, Indianapolis, IN 46260-2601 | 2017-01-09 |
| 1043661028 | Jamie Lazin | Dentist | 11 E 58th St, Indianapolis, IN 46220-2519 | 2016-06-30 |
| 1730561416 | Erin Zervas | Dentist | 6230 Tybalt Pl, Indianapolis, IN 46254-5164 | 2015-06-18 |
| 1376891200 | Marisa Anne Walker | Dentist | 7205 N Shadeland Ave, Indianapolis, IN 46250-2021 | 2012-08-27 |
| 1972884047 | Larrabee Orthodontics, Pllc | Dentist | 8513 Country Meadows Dr, Indianapolis, IN 46234-1881 | 2011-09-02 |
| 1114138187 | Karl William Glander II | Dentist | 7750 Madison Ave, Indianapolis, IN 46227-5606 | 2007-05-24 |
| 1447466925 | Karen Locke Cottingham | Dentist | 3916 Shore Dr, Indianapolis, IN 46254-2604 | 2007-05-14 |
| 1285847376 | Northeast Orthodontics | Dentist | 7205 North Shadeland Avenue, Indianapolis, IN 46250 | 2007-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.