DR. JOHN EDWARD ELLIOTT (NPI# 1912011099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912011099 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWARD ELLIOTT |
| Credential | D.D.S. |
| Practice Address |
900 S Main St Ste 104 Corona CA 92882-3401 |
| Mailing Address |
3405 E Austin Ave Orange CA 92869-5231 |
| Practice Telephone | 9512783304 |
| Mailing Telephone | 7142999267 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE 33281 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386778827 | John Granville Elliott | Acupuncturist | 1316 Court St, #4, Redding, CA 96001-1635 | 2007-03-15 |
| 1750453320 | John Franklin Elliott | Dentist | 129 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2006-11-15 |
| 1245323740 | John Foster Elliott | Marriage & Family Therapist | 6442 Coldwater Canyon, Suite 114, North Hollywood, CA 91606 | 2006-10-02 |
| 1043224280 | John W Elliott | Emergency Medicine | 532 Meadow Grove Lane, Westlake Village, CA 91362-5614 | 2006-07-27 |
| 1326039454 | John Daniel Elliott | Family Medicine | 1134 N. Road St., Building #7, Elizabeth City, NC 27909 | 2005-10-28 |
| 1205293198 | John Elliott | Emergency Medical Technician, Paramedic | 815 W 5th North St, Morristown, TN 37814-3810 | 2016-01-22 |
| 1508245226 | John William Elliott | Internal Medicine | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
| 1821496324 | John Wesley Elliott IIi | Nurse Practitioner | 601 5th St S, St Petersburg, FL 33701-4804 | 2014-12-15 |
| 1083025654 | John Elliott | Counselor | 6400 Thornberry Ct, Ste 620, Mason, OH 45040-7818 | 2014-05-16 |
| 1174942171 | John Linton Elliott Jr. | Internal Medicine | 1800 Howell Mill Rd Nw, Ste 175, Atlanta, GA 30318-0924 | 2014-04-08 |
| Street Address |
900 S MAIN ST STE 104 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285811828 | James C Jun | Dentist | 1760 W 6th St, Corona, CA 92882-2790 | 2008-01-25 |
| 1497964514 | Mitra Bolbolan Macmillan | Dentist | 4264 Green River Rd, Corona, CA 92880-1669 | 2007-05-22 |
| 1457564296 | James S Minutello | Dentist | 770 Magnolia Ave Suite 2-e, Corona, CA 92879-3122 | 2007-05-08 |
| 1104048909 | Regina D Minutello | Dentist | 770 Magnolia Ave Ste 2e, Corona, CA 92879-3122 | 2007-05-02 |
| 1770703258 | Rasheed Simjee Professional Dental Corp | Dentist | 1810 Fullerton Ave, #205, Corona, CA 92881-3103 | 2007-04-26 |
| 1790899342 | Rasheed Simjee | Dentist | 1810 Fullerton Ave, #205, Corona, CA 92881-3103 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.