DR. ROGER DEE ELLISTON (NPI# 1255350492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350492 |
| Entity Type | Individual |
| Full Name | DR. ROGER DEE ELLISTON |
| Credential | D.M.D |
| Practice Address |
2161 Hendersonville Rd Suite A Arden NC 28704-7741 |
| Practice Telephone | 8286871791 |
| Practice Fax Number | 8286871793 |
| Mailing Telephone | 8286871791 |
| Mailing Fax Number | 8286871793 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5587 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7992481 | 05 | |
| NC | BCBS | 92481 | 01 |
| Street Address |
2161 HENDERSONVILLE RD SUITE A |
| City | ARDEN |
| State | NC |
| Zip Code | 28704-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184691669 | Cynthia A Stephens | Nurse Practitioner | 2161 Hendersonville Rd, Arden, NC 28704-7741 | 2006-03-03 |
| 1346685831 | Bailey Schultz Balentine | Family Medicine | 2161 Hendersonville Rd, Arden, NC 28704-7741 | 2013-05-09 |
| 1043274855 | Asheville Dermatology Center, Pa | Dermatology | 2161 Hendersonville Rd, Ste C, Arden, NC 28704-7741 | 2006-04-17 |
| 1750346516 | Elizabeth D. Westly | Dermatology | 2161 Hendersonville Rd, Ste C, Arden, NC 28704-7741 | 2006-04-17 |
| 1689635997 | Michael D Stephens | Family Medicine | 2161 Hendersonville Rd, Arden Family Health Center, Arden, NC 28704 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
| Find all providers in zip 28704 | ||||
| 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 |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1326447871 | Melanie Ruth Casey, Pllc | Dentist | 1748 Brevard Rd, Arden, NC 28704-9658 | 2014-08-21 |
| 1073621868 | Dale Deines | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| 1275144826 | Riley Payne | Dentist | 600 Julian Ln Ste 610, Arden, NC 28704-7814 | 2020-08-16 |
| 1023287083 | Terri S. Meinhold D.d.s | Dentist | 2363 Hendersonville Rd, Arden, NC 28704-3149 | 2008-02-25 |
| 1659564136 | Drs Deines, Huffman and Associates | Dentist | 2160 Hendersonville Rd, Arden, NC 28704-5704 | 2007-08-20 |
| 1851409601 | Robert L Huffman | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| 1396853198 | Meredith Clark | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| 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.