JAMES D. ELLIS DDS LLC (NPI# 1477947976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477947976 |
| Entity Type | Organization |
| Organization Name | JAMES D. ELLIS DDS LLC |
| Practice Address |
12100 W Center Rd Ste 521 Omaha NE 68144-3969 |
| Practice Telephone | 4023333343 |
| Practice Fax Number | 4023333344 |
| Mailing Telephone | 4023333343 |
| Mailing Fax Number | 4023333344 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | JAMES D. ELLIS (OWNER/MANAGER) |
| Authorized Official Telephone | 4023333343 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6920 | NE | Ambulatory Health Care Facilities |
| Street Address |
12100 W CENTER RD STE 521 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336572 | Norman M Sheldon | Dentist | 12100 W Center Rd, Suite 110, Omaha, NE 68144-3969 | 2005-09-14 |
| 1154789501 | Katie Konecky | Occupational Therapist | 12100 W Center Rd, Omaha, NE 68144-3969 | 2016-02-01 |
| 1922478866 | Benchmark Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 12100 W Center Rd, Suite 524, Omaha, NE 68144-3969 | 2015-10-05 |
| 1568742765 | Norman M. Sheldon, Dds, LLC | Dentist | 12100 W Center Rd, Suite 110, Omaha, NE 68144-3969 | 2011-08-19 |
| 1992090898 | Andrea Bowen | Physical Therapist | 12100 W Center Rd, Ste 525, Omaha, NE 68144-3969 | 2011-06-20 |
| 1952551699 | Mark F Glassman | Hearing Instrument Specialist | 12100 W Center Rd, 1203-1205, Omaha, NE 68144-3969 | 2008-09-30 |
| 1598963647 | James D. Ellis | Dentist | 12100 W Center Rd, Ste. 521, Omaha, NE 68144-3969 | 2007-07-10 |
| 1306911433 | David H. Potach | Physical Therapist | 12100 W Center Rd, Suite 525, Omaha, NE 68144-3969 | 2006-11-22 |
| 1144394164 | Omaha Sports Physical Therapy, PC | Physical Therapist | 12100 W Center Rd, Suite 525, Omaha, NE 68144-3969 | 2006-11-20 |
| 1003985318 | Joseph Anthony Ramirez | Dentist | 12100 W Center Rd, Suite 521, Omaha, NE 68144-3969 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984817 | Dudzinski Dental PC | Clinic/Center | 3423 S 72nd St, Omaha, NE 68124-3573 | 2020-02-13 |
| 1295251023 | Matthew L. Freyer, D.d.s., P.C. | Clinic/Center | 8424 W Center Rd Ste 100, Omaha, NE 68124-3138 | 2017-08-14 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1477818862 | 7 Day Dental of Omaha, LLC | Clinic/Center | 7337 Farnam St, Omaha, NE 68114-4627 | 2012-07-11 |
| 1831326826 | Omalee Dental LLC | Clinic/Center | 14 Sixth Ave, Omaha, GA 31821 | 2009-06-17 |
| 1043818438 | Miboca 1 LLC | Clinic/Center | 5305 S 96th St, Omaha, NE 68127-3317 | 2020-10-16 |
| 1629690318 | Smith & Hascall Family Dentistry LLC | Clinic/Center | 17725 Welch Plz Ste B, Omaha, NE 68135-1404 | 2020-05-15 |
| 1669036042 | Nia Jones Orthodontics PC | Clinic/Center | 14707 California St Ste 8, Omaha, NE 68154-1900 | 2019-05-01 |
| 1326535261 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 12828 Augusta Ave, Omaha, NE 68144-3733 | 2018-04-17 |
| 1700373602 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 2526 S 140th St, Omaha, NE 68144-2339 | 2018-04-16 |
| Find all providers in OMAHA | ||||
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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.