DR. JERRY ROSS ELLIS (NPI# 1073516365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073516365 |
| Entity Type | Individual |
| Full Name | DR. JERRY ROSS ELLIS |
| Credential | D.D.S. |
| Practice Address |
404 W Main St Midlothian TX 76065-2946 |
| Practice Telephone | 9727752345 |
| Practice Fax Number | 9727754729 |
| Mailing Telephone | 9727752345 |
| Mailing Fax Number | 9727754729 |
| Enumeration Date | 2005-05-31 |
| 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 |
13742 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083776611 | Jerry H Ellis | Optometrist | 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 | 2006-12-13 |
| 1043754054 | Jerry Ellis | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-12-09 |
| Street Address |
404 W MAIN ST |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| 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 |
|---|---|---|---|---|
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1770101792 | Farshad Taghizadeh | Dentist | 3002 Sagewood Rd, Midlothian, VA 23112-4220 | 2020-07-07 |
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1598247405 | Dental Professionals of Virginia, P.C. | Dentist | 125 Browns Way Rd, Midlothian, VA 23114-9507 | 2018-09-06 |
| 1689186447 | Marvel Dental Midlothian Pllc | Dentist | 661 E Main St Ste 800, Midlothian, TX 76065-3342 | 2017-11-01 |
| 1982140620 | Commonwealth Pediatric Dentistry, Pllc | Dentist | 6661 Lake Harbour Dr, Midlothian, VA 23112-2082 | 2017-01-18 |
| 1013469980 | Woodlake Dental Center | Dentist | 6508 Woodlake Village Cir, Midlothian, VA 23112-2200 | 2016-10-26 |
| 1043761299 | James T. Rickman, Iv., Dds., PC | Dentist | 5937 Harbour Park Dr, Midlothian, VA 23112-2163 | 2016-10-21 |
| 1518418144 | Jeryl A Abbott Dds PC | Dentist | 151 Le Gordon Dr, Midlothian, VA 23114-4333 | 2016-10-19 |
| 1982155529 | Anderson Family Dentistry | Dentist | 13841 Hull Street Rd Ste 5, Midlothian, VA 23112-2056 | 2016-10-19 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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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.