JESS T ELLIS DDS, MS, INC (NPI# 1497195119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497195119 |
Entity Type | Organization |
Organization Name | JESS T ELLIS DDS, MS, INC |
Practice Address |
11741 Barr Rd Anchorage AK 99516-2164 |
Practice Telephone | 9072723636 |
Practice Fax Number | 9072723635 |
Mailing Telephone | 9072723636 |
Mailing Fax Number | 9072723635 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2013-06-26 |
Authorized Official Name | DR. JESS T ELLIS (PRESIDENT) |
Authorized Official Telephone | 9072723636 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | Y |
Parent Organization Name | JESS T ELLIS DDS, MS, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
682 | AK | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 3072011582976 | 05 |
Street Address |
11741 BARR RD |
City | ANCHORAGE |
State | AK |
Zip Code | 99516-2164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
1184038457 | Christine L Longly | Nurse Practitioner | 11331 Ridgecrest Drive, Anchorage, AK 99516 | 2014-06-16 |
1700136033 | Marathon Sports and Orthopedics | Durable Medical Equipment & Medical Supplies | 7701 Upper Dearmoun Road, Anchorage, AK 99516 | 2012-09-13 |
1164796389 | Karen Coombs-marcey | Pharmacist | 11300 Mael St, Anchorage, UT 99516 | 2012-03-06 |
1265616783 | Karen Pudge Dba Forget-me-not Care Coordination | Case Manager/Care Coordinator | 4350 E 145th Avenue, Anchorage, AK 99516 | 2007-12-19 |
1588640122 | Debbie A Dragich | Anesthesiology | 11019 Baronik St, Anchorage, AK 99516 | 2005-12-15 |
1427665280 | Alaska Monitoring Associates, Inc. | Specialist/Technologist, Other | 11641 Woodbourne Dr, Anchorage, AK 99516-1279 | 2020-09-25 |
1306170931 | Heather Reier | Doula | 11026 Forest Dr, Anchorage, AK 99516-1303 | 2009-09-30 |
1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
1972735272 | Susan Veatch Pettis | Physical Therapist | 11551 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2009-08-20 |
Find all providers in zip 99516 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316339526 | Matthew Mauger | Dentist | 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 | 2015-02-25 |
1740430586 | Jess Taylor Ellis | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2008-09-29 |
1477765394 | Douglas J. Luiten, D.m.d., P.C. | Dentist | 4001 Laurel Street, Suite 208, Anchorage, AK 99508 | 2007-05-04 |
1780805838 | Heather R Sulte | Dentist | 2000 Abbott Road, Suite 100, Anchorage, AK 99507 | 2007-05-02 |
1699764670 | Orest Mychajlo Harkacz Sr. | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2005-10-20 |
1265437321 | Richard A. Siry | Dentist | 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 | 2005-06-16 |
1649713074 | Darin Anderson, LLC | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2016-12-03 |
1952521346 | Douglas J Luiten | Dentist | 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 | 2007-04-26 |
1326103383 | Michael J. Mauger | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
1477618445 | Michael L Mark | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
Find all providers in ANCHORAGE |
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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.