DR. JON MATTHEW ELLENBECKER (NPI# 1982792289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982792289 |
| Entity Type | Individual |
| Full Name | DR. JON MATTHEW ELLENBECKER |
| Credential | DDS |
| Practice Address |
5201 S Western Ave Sioux Falls SD 57108-5004 |
| Practice Telephone | 6053392200 |
| Practice Fax Number | 6053345530 |
| Mailing Telephone | 6053392200 |
| Mailing Fax Number | 6053345530 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
M887 | SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7803400 | 05 |
| Street Address |
5201 S WESTERN AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396839874 | Alicia Marie Berger Hansen | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5040 | 2006-10-02 |
| 1215463047 | Kimberly Questad | Counselor | 5201 S Western Ave, Suite 104, Sioux Falls, SD 57108-5040 | 2017-05-11 |
| 1457708448 | Ronda J Maass, LLC | Counselor | 5201 S Western Ave, Suite 104, Sioux Falls, SD 57108-5040 | 2016-05-19 |
| 1770980195 | Sioux Falls Wellness Counseling, Inc. | Community/Behavioral Health | 5201 S Western Ave, #104, Sioux Falls, SD 57108-5040 | 2014-12-01 |
| 1851693816 | Kristine Ann Weires | Social Worker | 5201 S Western Ave, Suite 105, Sioux Falls, SD 57108-5040 | 2010-11-24 |
| 1588785943 | Ronda J. Maass | Counselor | 5201 S Western Ave, Ste. 104, Sioux Falls, SD 57108-5040 | 2007-04-03 |
| 1326136607 | South Western Dental | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5004 | 2006-10-11 |
| 1700974953 | Richard Joseph Ellenbecker | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5004 | 2006-10-11 |
| 1245328533 | Thomas James Weisbecker | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5004 | 2006-10-11 |
| 1881782100 | Timothy Francis Berger | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5004 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041749 | Drake Family Dentistry of Sioux Falls PC | Dentist | 2701 S Minnesota Ave Ste 3, Sioux Falls, SD 57105-4746 | 2019-12-27 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1396230868 | Cameron Jones Clause | Dentist | 6301 S Minnesota Ave Ste 100, Sioux Falls, SD 57108-2529 | 2018-06-27 |
| 1528589264 | Molly Christine Kutkat | Dentist | 2400 W 41st St, Sioux Falls, SD 57105-6119 | 2017-07-03 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1033647383 | Edward Alex Kusek | Dentist | 4921 E 26th St Ste 1, Sioux Falls, SD 57110-6965 | 2017-05-31 |
| 1134656911 | Shawd Nbd P.C. | Dentist | 3321 E 26th St Ste 1, Sioux Falls, SD 57103-4144 | 2017-05-11 |
| 1336413525 | David Richard Bolton | Dentist | 2005 W 42nd St, Sioux Falls, SD 57105-6299 | 2012-03-06 |
| 1740439074 | Dwight William Loudon | Dentist | 3005 S Phillips Ave, Sioux Falls, SD 57105-5720 | 2008-09-10 |
| 1588865950 | Southeastern Dental Center | Dentist | 2851 E Jackson St, Sioux Falls, SD 57108-3511 | 2007-05-31 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.