DR. MARK ALAN ELLIS (NPI# 1265426894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265426894 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN ELLIS |
| Credential | D.M.D. |
| Practice Address |
951 Riverfront Pkwy Suite 302 Chattanooga TN 37402-2185 |
| Practice Telephone | 4238057500 |
| Practice Fax Number | 4238057501 |
| Mailing Telephone | 4238057500 |
| Mailing Fax Number | 4238057501 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9594 | TN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
299697 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| 1366808677 | Mark Ellis | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2016-01-04 |
| Street Address |
951 RIVERFRONT PKWY SUITE 302 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336596196 | Clark Dental Studio, Pllc | Dentist | 951 Riverfront Pkwy, #303, Chattanooga, TN 37402-2185 | 2016-05-20 |
| 1538585161 | Mark A. Ellis, Dmd, Pllc | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2014-03-06 |
| 1891042461 | Elizabeth Felts Randall | Dentist | 951 Riverfront Pkwy, Suite 102, Chattanooga, TN 37402-2185 | 2012-08-13 |
| 1942510979 | Mcdaniel Orthodontics, P.C. | Dentist | 951 Riverfront Pkwy, Suite 202, Chattanooga, TN 37402-2185 | 2010-10-08 |
| 1063562460 | Chattanooga Periodontics & Dental Implants, PC | Dentist | 951 Riverfront Pkwy, Ste 102, Chattanooga, TN 37402-2185 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| 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 |
|---|---|---|---|---|
| 1700428893 | Davis Family Dental Care | Dentist | 7003 Shallowford Rd Ste 101, Chattanooga, TN 37421-6722 | 2019-10-10 |
| 1477112621 | Lawrence Songyuan Lu | Dentist | 1421 Armour St, Chattanooga, TN 37412-2812 | 2019-06-11 |
| 1548703945 | Emerald Dental Pllc | Dentist | 1515 Gunbarrel Rd Ste 126, Chattanooga, TN 37421-0001 | 2016-12-02 |
| 1316390206 | Andrea C Marable | Dentist | 8021 E Brainerd Rd, Chattanooga, TN 37421-3206 | 2016-07-15 |
| 1043662778 | Jesse Ellsworth | Dentist | 4972 Highway 58, Suite 114, Chattanooga, TN 37416-1867 | 2016-07-06 |
| 1053770800 | Alani Dental Center | Dentist | 1825 Gunbarrel Rd, Suite 400b, Chattanooga, TN 37421-3130 | 2016-02-22 |
| 1376902809 | Facial Dental Center, P.C. | Dentist | 1720 Gunbarrel Rd Ste 310, Chattanooga, TN 37421-3192 | 2016-02-11 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1497181903 | Nisha Bhanu Patel | Dentist | 7003 Shallowford Rd Ste 202, Chattanooga, TN 37421 | 2013-09-17 |
| 1225479926 | Jennifer Flanagan Cole | Dentist | 313 Manufacturers Rd, Suite 207, Chattanooga, TN 37405-3274 | 2013-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
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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.