DR. JAMES D. ELLIS (NPI# 1598963647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598963647 |
| Entity Type | Individual |
| Full Name | DR. JAMES D. ELLIS |
| Credential | D.D.S. |
| Practice Address |
12100 W Center Rd Ste. 521 Omaha NE 68144-3969 |
| Mailing Address |
12100 W Center Rd Ste 521 Omaha NE 68144-3969 |
| Practice Telephone | 4023333343 |
| Mailing Telephone | 4023333343 |
| Mailing Fax Number | 4023333344 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2015-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6920 | NE | Dental Providers |
| N | 122300000X | Dentist | 08694 | IA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
9440 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183754 | James Bradley Ellis | Social Worker | 1306 67th St Nw, Fort Payne, AL 35967-8306 | 2020-01-25 |
| 1407103203 | James Clayton Ellis | Dentist | 1710 Highland Dr, Prosser, WA 99350-1517 | 2012-08-10 |
| 1285875856 | James Madison Ellis | Emergency Medicine | 7 Independence Pt, Ste 100, Greenville, SC 29615-4566 | 2009-03-11 |
| 1336295278 | James Andrew Ellis | Chiropractor | 705 Hill Rd N, Pickerington, OH 43147-8592 | 2007-01-25 |
| 1962554915 | James Scott Ellis | Orthopaedic Surgery | 2909 South Hampton Rd, Suite D107, Dallas, TX 75224 | 2007-01-18 |
| 1457408494 | James Cobb Ellis | Dentist | 801 N Elm St, Henderson, KY 42420-2705 | 2007-01-04 |
| 1497855282 | James R Ellis | Dentist | 3291 Stanford Ranch Rd, Ste. 102, Rocklin, CA 95765 | 2006-09-22 |
| 1073524435 | James Morton Ellis | Dentist | 706 39th St W, Bradenton, FL 34205-2454 | 2006-08-11 |
| 1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
| 1962435800 | James Stephen Ellis | Ophthalmology | 626 1st St, Macon, GA 31201-2805 | 2006-07-07 |
| 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 |
| 1477947976 | James D. Ellis Dds LLC | Clinic/Center | 12100 W Center Rd, Ste 521, Omaha, NE 68144-3969 | 2015-03-23 |
| 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 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1902381247 | Laura Breanna Videtich | Dentist | 5331 S 118th Ct Apt 301, Omaha, NE 68137-3811 | 2018-10-02 |
| 1336620939 | Omar I Faraj | Dentist | 985527 Nebraska Medical Ctr, Omaha, NE 68198-5527 | 2018-08-22 |
| 1225524770 | Mahum Abbas Mirza | Dentist | 13625 California St Ste 300, Omaha, NE 68154-5246 | 2018-07-09 |
| 1346759222 | John Varner | Dentist | 984125 Nebraska Medical Center, Omaha, NE 68198-0001 | 2017-09-23 |
| 1538685698 | Nicholas Samuelson | Dentist | 13808 W Maple Rd Ste 104, Omaha, NE 68164-6231 | 2017-08-20 |
| 1477083046 | Katie Jo Walker | Dentist | 17810 Pierce Plz Ste 100, Omaha, NE 68130-1018 | 2017-06-15 |
| 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.