DR. JAMES W ELLIS JR. (NPI# 1164635959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164635959 |
| Entity Type | Individual |
| Full Name | DR. JAMES W ELLIS JR. |
| Credential | DR |
| Practice Address |
126 Poplar Grove Connector 126 Poplar Grove Connector Boone NC 28607-5915 |
| Mailing Address |
126 Poplar Grove Connector Boone NC 28607-5915 |
| Practice Telephone | 8282644995 |
| Practice Fax Number | 8282644997 |
| Mailing Telephone | 8282644995 |
| Mailing Fax Number | 8282644997 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3875 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 0709B | 01 |
| NC | 3404305 | 05 | |
| NC | BLUE CROSS | 0709W | 01 |
| NC | 3404303 | 05 | |
| NC | 3404485 | 05 | |
| NC | BLUE CROSS | 0709K | 01 |
| NC | 3404395 | 05 |
| 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 |
126 POPLAR GROVE CONNECTOR 126 POPLAR GROVE CONNECTOR |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851408207 | Rachel Elisabeth Bridgeman | Nurse Practitioner | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2006-08-23 |
| 1720638117 | Elizabeth Ann Kerley | Social Worker | 126 Poplar Grove Connector, Boone, NC 28607-6068 | 2019-09-17 |
| 1487932315 | Patricia B Lanier | Social Worker | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2011-07-26 |
| 1225368921 | Laurie Ann Cimino | Dietitian, Registered | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2010-01-04 |
| 1437488988 | Edith N Mubanda | Dietitian, Registered | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2009-12-11 |
| 1578703336 | William Arthur Herring Jr. | Public Health or Welfare | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2009-03-05 |
| 1134313539 | Appalachian District Health Department | Public Health or Welfare | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2007-08-29 |
| 1437222627 | Robert T Teeter | Obstetrics & Gynecology | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2006-11-16 |
| 1487727459 | Appalachian District Health Dept | Public Health or Welfare | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| 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 |
|---|---|---|---|---|
| 1841858941 | Robert Warren II | Dentist | 127 Alan Dr, Boone, NC 28607-9324 | 2019-06-03 |
| 1720430614 | Parke Ladd | Dentist | 166 Furman Rd Ste A, Boone, NC 28607-5064 | 2016-07-05 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1730507062 | Boone Family Dentistry | Dentist | 1805 S. Linn St, Boone, IA 50036-5312 | 2014-04-03 |
| 1891953493 | Gary S Luna Dds | Dentist | 1515 S Marshall St, Boone, IA 50036-5312 | 2008-05-30 |
| 1669668620 | Robert Lee Warren | Dentist | 142 Doctors Dr, Boone, NC 28607-5000 | 2007-09-23 |
| 1255486304 | Curtis R. Page | Dentist | 516 New Market Blvd Ste 4, Boone, NC 28607-4014 | 2007-01-25 |
| 1497818793 | Steven Airey | Dentist | 166 Furman Road, Suite A, Boone, NC 28607 | 2006-12-18 |
| 1841377256 | Jerry L Butler and Associates Dds Pllc | Dentist | 851 Blowing Rock Rd, Boone, NC 28607 | 2006-11-01 |
| 1033213541 | James B Graham Jr. | Dentist | 252 E King St, Suite 100, Boone, NC 28607-5080 | 2006-09-13 |
| Find all providers in BOONE | ||||
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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.